Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.59 / $1,227.31 / $3,119.00	Facility		$591.59	$1,227.31	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.59 / $712.12 / $2,786.60	Professional		$591.59	$712.12	$2,786.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.51 / $1,365.21 / $3,707.40	Professional		$666.51	$1,365.21	$3,707.40
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 $1,921.19 / $2,245.06 / $3,443.98	Facility		$1,921.19	$2,245.06	$3,443.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.82 / $2,116.23 / $3,273.05	Professional		$796.82	$2,116.23	$3,273.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $570.90 / $833.18 / $1,485.16	Facility		$570.90	$833.18	$1,485.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.41 / $981.25 / $4,292.39	Facility		$573.41	$981.25	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $655.67 / $1,509.23 / $5,257.76	Professional		$655.67	$1,509.23	$5,257.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $400.93 / $1,331.92	Professional		$67.79	$400.93	$1,331.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $570.90 / $828.23 / $1,485.16	Facility		$570.90	$828.23	$1,485.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,292.32 / $1,685.38 / $2,416.56	Professional		$1,292.32	$1,685.38	$2,416.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,350.75 / $1,350.75 / $4,155.96	Facility		$1,350.75	$1,350.75	$4,155.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,248.06 / $3,032.01 / $5,257.76	Professional		$1,248.06	$3,032.01	$5,257.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.57 / $1,988.57 / $2,394.51	Professional		$1,988.57	$1,988.57	$2,394.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.65 / $3,805.74 / $4,583.79	Professional		$2,011.65	$3,805.74	$4,583.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $6,564.00	Facility		$2,781.00	$3,628.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.68 / $1,413.38 / $3,072.13	Professional		$682.68	$1,413.38	$3,072.13