Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.89 / $1,024.67 / $6,125.88	Facility		$351.89	$1,024.67	$6,125.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.36 / $509.08 / $2,478.00	Professional		$338.36	$509.08	$2,478.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.67 / $812.06 / $2,170.67	Professional		$444.67	$812.06	$2,170.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.65 / $1,547.95 / $2,374.60	Facility		$1,324.65	$1,547.95	$2,374.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.07 / $1,308.11 / $2,281.83	Professional		$554.07	$1,308.11	$2,281.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.63 / $571.53 / $1,024.67	Facility		$355.63	$571.53	$1,024.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.33 / $683.12 / $4,292.39	Facility		$374.33	$683.12	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.74 / $1,077.57 / $3,716.32	Professional		$513.74	$1,077.57	$3,716.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $291.90 / $941.95	Professional		$50.00	$291.90	$941.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.63 / $571.53 / $1,024.67	Facility		$355.63	$571.53	$1,024.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $819.18 / $1,170.06 / $1,705.41	Professional		$819.18	$1,170.06	$1,705.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $2,579.82	Facility		$1,455.33	$1,455.33	$2,579.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $754.46 / $2,113.79 / $3,716.32	Professional		$754.46	$2,113.79	$3,716.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.78 / $2,300.61 / $3,195.68	Professional		$1,110.78	$2,300.61	$3,195.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.22 / $904.31 / $2,122.88	Professional		$509.22	$904.31	$2,122.88