Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.82 / $1,001.65 / $6,461.00	Facility		$482.82	$1,001.65	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $594.65 / $2,320.88	Professional		$482.82	$594.65	$2,320.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.13 / $1,114.20 / $3,023.69	Professional		$559.13	$1,114.20	$3,023.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.37 / $691.37 / $691.37	Facility		$691.37	$691.37	$691.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,604.89 / $1,875.45 / $2,876.98	Facility		$1,604.89	$1,875.45	$2,876.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.05 / $1,763.98 / $2,731.51	Professional		$651.05	$1,763.98	$2,731.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $482.82 / $699.65 / $1,255.33	Facility		$482.82	$699.65	$1,255.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.99 / $782.78 / $1,546.09	Facility		$488.99	$782.78	$1,546.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.24 / $1,265.94 / $4,385.92	Professional		$591.24	$1,265.94	$4,385.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $348.33 / $1,139.96	Professional		$52.59	$348.33	$1,139.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $482.82 / $699.65 / $1,255.33	Facility		$482.82	$699.65	$1,255.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,062.59 / $1,402.63 / $2,011.15	Professional		$1,062.59	$1,402.63	$2,011.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $561.03 / $561.03 / $3,396.96	Facility		$561.03	$561.03	$3,396.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,019.96 / $2,530.35 / $4,385.92	Professional		$1,019.96	$2,530.35	$4,385.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.84 / $1,621.84 / $2,000.96	Professional		$1,621.84	$1,621.84	$2,000.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.69 / $3,110.19 / $3,825.38	Professional		$1,492.69	$3,110.19	$3,825.38
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 $593.30 / $1,088.01 / $2,560.01	Professional		$593.30	$1,088.01	$2,560.01