Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.90 / $1,012.59 / $2,554.41	Facility		$476.90	$1,012.59	$2,554.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.90 / $670.42 / $2,703.14	Professional		$476.90	$670.42	$2,703.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.05 / $1,100.53 / $3,139.21	Professional		$639.05	$1,100.53	$3,139.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.58 / $292.58 / $292.58	Facility		$292.58	$292.58	$292.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,806.75 / $2,111.33 / $3,238.83	Facility		$1,806.75	$2,111.33	$3,238.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.56 / $1,890.18 / $3,131.40	Professional		$780.56	$1,890.18	$3,131.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $476.90 / $775.64 / $1,433.27	Facility		$476.90	$775.64	$1,433.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.50 / $916.00 / $1,707.40	Facility		$499.50	$916.00	$1,707.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $1,571.50 / $5,095.68	Professional		$792.17	$1,571.50	$5,095.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $561.24 / $1,509.49	Professional		$62.75	$561.24	$1,509.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $476.90 / $775.64 / $1,433.27	Facility		$476.90	$775.64	$1,433.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,120.50 / $1,591.33 / $2,332.71	Professional		$1,120.50	$1,591.33	$2,332.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $255.06 / $255.06 / $2,226.84	Facility		$255.06	$255.06	$2,226.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,033.33 / $2,900.79 / $5,095.68	Professional		$1,033.33	$2,900.79	$5,095.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,135.89 / $3,093.73 / $4,385.43	Professional		$2,135.89	$3,093.73	$4,385.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $753.16 / $1,359.46 / $3,115.34	Professional		$753.16	$1,359.46	$3,115.34