Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.81 / $825.50 / $3,457.80	Facility		$392.81	$825.50	$3,457.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.81 / $537.76 / $2,111.42	Professional		$392.81	$537.76	$2,111.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.24 / $906.49 / $2,411.37	Professional		$487.24	$906.49	$2,411.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $859.78 / $859.78 / $859.78	Facility		$859.78	$859.78	$859.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,417.46 / $1,656.42 / $2,540.98	Facility		$1,417.46	$1,656.42	$2,540.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.28 / $1,451.82 / $2,441.26	Professional		$595.28	$1,451.82	$2,441.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $403.19 / $589.22 / $1,088.91	Facility		$403.19	$589.22	$1,088.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.11 / $793.62 / $3,593.00	Facility		$408.11	$793.62	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.23 / $1,118.53 / $3,247.12	Professional		$575.23	$1,118.53	$3,247.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $317.56 / $1,012.18	Professional		$61.84	$317.56	$1,012.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $403.19 / $589.22 / $1,088.91	Facility		$403.19	$589.22	$1,088.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $896.86 / $1,252.59 / $1,807.71	Professional		$896.86	$1,252.59	$1,807.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.35 / $645.35 / $2,840.82	Facility		$645.35	$645.35	$2,840.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $821.93 / $2,261.48 / $3,968.64	Professional		$821.93	$2,261.48	$3,968.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.18 / $2,554.15 / $3,418.92	Professional		$1,425.18	$2,554.15	$3,418.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.23 / $1,000.02 / $2,275.06	Professional		$575.23	$1,000.02	$2,275.06