Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.12 / $1,001.74 / $10,843.72	Facility		$327.12	$1,001.74	$10,843.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.82 / $481.80 / $2,020.00	Professional		$311.82	$481.80	$2,020.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.40 / $754.90 / $2,068.81	Professional		$414.40	$754.90	$2,068.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,301.22 / $1,520.58 / $2,332.60	Facility		$1,301.22	$1,520.58	$2,332.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.29 / $1,230.08 / $2,228.79	Professional		$524.29	$1,230.08	$2,228.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $327.12 / $501.44 / $1,002.46	Facility		$327.12	$501.44	$1,002.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.12 / $594.71 / $7,160.00	Facility		$337.12	$594.71	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.20 / $1,032.01 / $3,611.28	Professional		$478.20	$1,032.01	$3,611.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $295.24 / $944.26	Professional		$52.59	$295.24	$944.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $327.12 / $501.44 / $1,002.46	Facility		$327.12	$501.44	$1,002.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $790.05 / $1,125.09 / $1,657.07	Professional		$790.05	$1,125.09	$1,657.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,389.44 / $2,389.44 / $2,469.60	Facility		$2,389.44	$2,389.44	$2,469.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $703.07 / $2,064.65 / $3,611.28	Professional		$703.07	$2,064.65	$3,611.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.44 / $2,143.89 / $3,121.33	Professional		$1,034.44	$2,143.89	$3,121.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.79 / $872.30 / $2,045.86	Professional		$476.79	$872.30	$2,045.86