Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.78 / $1,113.89 / $14,482.00	Facility		$523.78	$1,113.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.05 / $545.60 / $2,393.25	Professional		$499.05	$545.60	$2,393.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.64 / $1,142.73 / $3,060.31	Professional		$498.64	$1,142.73	$3,060.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $319.44 / $319.44	Facility		$319.44	$319.44	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,413.86 / $1,652.20 / $2,534.52	Facility		$1,413.86	$1,652.20	$2,534.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.91 / $2,153.36 / $2,447.00	Professional		$700.91	$2,153.36	$2,447.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.07 / $661.96 / $1,237.65	Facility		$520.07	$661.96	$1,237.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.78 / $845.42 / $1,778.00	Facility		$523.78	$845.42	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $518.41 / $1,006.37 / $3,999.76	Professional		$518.41	$1,006.37	$3,999.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $308.66 / $1,009.88	Professional		$61.84	$308.66	$1,009.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $520.07 / $661.96 / $1,237.65	Facility		$520.07	$661.96	$1,237.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,075.75 / $1,310.76 / $1,956.71	Professional		$1,075.75	$1,310.76	$1,956.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $2,599.00	Facility		$264.92	$264.92	$2,599.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,007.46 / $2,503.40 / $3,999.76	Professional		$1,007.46	$2,503.40	$3,999.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.99 / $1,720.99 / $1,720.99	Professional		$1,720.99	$1,720.99	$1,720.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $468.96 / $2,622.32 / $3,426.95	Professional		$468.96	$2,622.32	$3,426.95
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 $518.41 / $904.23 / $2,202.98	Professional		$518.41	$904.23	$2,202.98