Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.42 / $1,144.73 / $2,168.05	Facility		$538.42	$1,144.73	$2,168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.82 / $572.91 / $2,467.71	Professional		$529.82	$572.91	$2,467.71
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 $544.96 / $1,242.52 / $3,145.66	Professional		$544.96	$1,242.52	$3,145.66
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 $1,548.12 / $1,809.11 / $2,775.21	Facility		$1,548.12	$1,809.11	$2,775.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.55 / $2,020.40 / $2,674.93	Professional		$706.55	$2,020.40	$2,674.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $508.77 / $670.30 / $1,266.13	Facility		$508.77	$670.30	$1,266.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.77 / $825.42 / $1,756.00	Facility		$508.77	$825.42	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $604.23 / $1,256.44 / $4,366.64	Professional		$604.23	$1,256.44	$4,366.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $349.40 / $1,138.31	Professional		$61.84	$349.40	$1,138.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $508.77 / $670.30 / $1,266.13	Facility		$508.77	$670.30	$1,266.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,173.25 / $1,436.66 / $2,084.61	Professional		$1,173.25	$1,436.66	$2,084.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,617.28	Facility		$1,722.47	$1,722.47	$2,617.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,068.26 / $2,581.30 / $4,366.64	Professional		$1,068.26	$2,581.30	$4,366.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.01 / $1,769.01 / $1,880.82	Professional		$1,769.01	$1,769.01	$1,880.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.40 / $3,522.94 / $3,746.12	Professional		$1,715.40	$3,522.94	$3,746.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $594.76 / $1,189.70 / $2,626.69	Professional		$594.76	$1,189.70	$2,626.69