Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.56 / $946.78 / $3,119.00	Facility		$443.56	$946.78	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.91 / $491.10 / $2,009.03	Professional		$422.91	$491.10	$2,009.03
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 $461.99 / $1,023.61 / $2,584.19	Professional		$461.99	$1,023.61	$2,584.19
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 $1,339.97 / $1,565.86 / $2,402.06	Facility		$1,339.97	$1,565.86	$2,402.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.12 / $1,341.81 / $2,215.82	Professional		$579.12	$1,341.81	$2,215.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $586.42 / $1,051.98	Facility		$427.13	$586.42	$1,051.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.56 / $689.70 / $3,034.00	Facility		$443.56	$689.70	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.53 / $1,063.71 / $3,745.36	Professional		$501.53	$1,063.71	$3,745.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $311.01 / $1,021.97	Professional		$52.59	$311.01	$1,021.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $574.59 / $1,051.98	Facility		$427.13	$574.59	$1,051.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,226.02 / $1,757.91	Professional		$1,006.20	$1,226.02	$1,757.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,156.60	Facility		$1,722.47	$1,722.47	$2,156.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $918.99 / $2,134.04 / $3,745.36	Professional		$918.99	$2,134.04	$3,745.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.26 / $1,453.26 / $1,608.70	Professional		$1,453.26	$1,453.26	$1,608.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.07 / $2,909.84 / $3,226.24	Professional		$1,393.07	$2,909.84	$3,226.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.80 / $945.44 / $2,108.69	Professional		$509.80	$945.44	$2,108.69