Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.45 / $3,119.00 / $10,709.49	Facility		$592.45	$3,119.00	$10,709.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $722.38 / $2,743.20	Professional		$288.64	$722.38	$2,743.20
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 $366.26 / $667.19 / $1,880.34	Professional		$366.26	$667.19	$1,880.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.48 / $355.57 / $1,942.50	Facility		$279.48	$355.57	$1,942.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.55 / $550.79 / $717.68	Professional		$524.55	$550.79	$717.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.49 / $1,869.13 / $2,867.29	Facility		$1,599.49	$1,869.13	$2,867.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.30 / $1,289.31 / $2,698.50	Professional		$531.30	$1,289.31	$2,698.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $283.93 / $592.45 / $1,219.65	Facility		$283.93	$592.45	$1,219.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.12 / $644.76 / $4,377.80	Facility		$289.12	$644.76	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.36 / $1,237.33 / $4,368.80	Professional		$614.36	$1,237.33	$4,368.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $340.79 / $1,111.40	Professional		$52.59	$340.79	$1,111.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $283.93 / $592.45 / $1,219.65	Facility		$283.93	$592.45	$1,219.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $694.06 / $1,238.11 / $1,979.72	Professional		$694.06	$1,238.11	$1,979.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,399.20 / $1,399.20 / $1,722.47	Facility		$1,399.20	$1,399.20	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $647.71 / $2,517.80 / $4,368.80	Professional		$647.71	$2,517.80	$4,368.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $918.29 / $1,892.77 / $3,806.43	Professional		$918.29	$1,892.77	$3,806.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.91 / $1,107.79 / $2,405.03	Professional		$591.91	$1,107.79	$2,405.03