Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.92 / $1,197.58 / $2,332.98	Facility		$562.92	$1,197.58	$2,332.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.07 / $615.16 / $2,332.98	Professional		$524.07	$615.16	$2,332.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.11 / $1,299.07 / $3,278.70	Professional		$591.11	$1,299.07	$3,278.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,669.78 / $1,951.26 / $2,993.29	Facility		$1,669.78	$1,951.26	$2,993.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.36 / $1,851.19 / $2,885.21	Professional		$769.36	$1,851.19	$2,885.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $542.57 / $719.74 / $1,330.65	Facility		$542.57	$719.74	$1,330.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.50 / $871.14 / $1,599.42	Facility		$552.50	$871.14	$1,599.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $665.82 / $1,352.88 / $4,711.60	Professional		$665.82	$1,352.88	$4,711.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $370.54 / $1,225.75	Professional		$61.84	$370.54	$1,225.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $542.57 / $719.74 / $1,330.65	Facility		$542.57	$719.74	$1,330.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,262.95 / $1,538.86 / $2,206.46	Professional		$1,262.95	$1,538.86	$2,206.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,746.76	Facility		$1,722.47	$1,722.47	$2,746.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,152.24 / $2,707.45 / $4,711.60	Professional		$1,152.24	$2,707.45	$4,711.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.67 / $3,693.90 / $4,040.67	Professional		$1,784.67	$3,693.90	$4,040.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $648.38 / $1,176.08 / $2,681.95	Professional		$648.38	$1,176.08	$2,681.95