Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.39 / $1,467.99 / $3,153.78	Facility		$718.39	$1,467.99	$3,153.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.72 / $866.71 / $3,342.54	Professional		$697.72	$866.71	$3,342.54
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 $793.44 / $1,657.83 / $4,481.18	Professional		$793.44	$1,657.83	$4,481.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,554.79 / $1,554.79 / $1,554.79	Facility		$1,554.79	$1,554.79	$1,554.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,323.09 / $2,714.71 / $4,164.43	Facility		$2,323.09	$2,714.71	$4,164.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.85 / $2,534.98 / $3,960.53	Professional		$942.85	$2,534.98	$3,960.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $580.25 / $927.82 / $1,779.21	Facility		$580.25	$927.82	$1,779.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $1,077.58 / $4,292.39	Facility		$643.10	$1,077.58	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $786.48 / $1,815.68 / $6,368.32	Professional		$786.48	$1,815.68	$6,368.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $495.58 / $1,630.05	Professional		$93.96	$495.58	$1,630.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $905.32 / $1,779.21	Facility		$643.10	$905.32	$1,779.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,546.12 / $2,021.98 / $2,899.19	Professional		$1,546.12	$2,021.98	$2,899.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.82 / $1,258.82 / $5,021.52	Facility		$1,258.82	$1,258.82	$5,021.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,506.93 / $3,668.85 / $6,368.32	Professional		$1,506.93	$3,668.85	$6,368.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.63 / $4,595.20 / $5,546.56	Professional		$2,187.63	$4,595.20	$5,546.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.48 / $1,565.52 / $3,601.88	Professional		$786.48	$1,565.52	$3,601.88