Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.99 / $1,212.14 / $9,534.76	Facility		$320.99	$1,212.14	$9,534.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.99 / $527.23 / $2,039.83	Professional		$320.99	$527.23	$2,039.83
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 $406.64 / $740.74 / $1,884.01	Professional		$406.64	$740.74	$1,884.01
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 $1,411.15 / $1,649.05 / $2,529.67	Facility		$1,411.15	$1,649.05	$2,529.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.36 / $1,269.57 / $2,417.46	Professional		$531.36	$1,269.57	$2,417.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.27 / $527.23 / $1,080.96	Facility		$302.27	$527.23	$1,080.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $649.90 / $4,292.39	Facility		$305.08	$649.90	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.14 / $1,138.26 / $3,916.72	Professional		$535.14	$1,138.26	$3,916.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $309.89 / $1,009.26	Professional		$52.59	$309.89	$1,009.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.27 / $527.23 / $1,080.96	Facility		$302.27	$527.23	$1,080.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $774.14 / $1,200.03 / $1,786.35	Professional		$774.14	$1,200.03	$1,786.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $1,559.36	Facility		$1,455.33	$1,455.33	$1,559.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $685.96 / $2,239.42 / $3,916.72	Professional		$685.96	$2,239.42	$3,916.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.54 / $2,091.73 / $3,385.59	Professional		$1,013.54	$2,091.73	$3,385.59
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 $504.90 / $965.62 / $2,222.46	Professional		$504.90	$965.62	$2,222.46