Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $1,131.39 / $8,438.29	Facility		$327.43	$1,131.39	$8,438.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $548.40 / $2,224.00	Professional		$327.43	$548.40	$2,224.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.80 / $755.61 / $2,000.18	Professional		$414.80	$755.61	$2,000.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,480.54 / $1,730.13 / $2,654.06	Facility		$1,480.54	$1,730.13	$2,654.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.57 / $1,298.64 / $2,528.81	Professional		$563.57	$1,298.64	$2,528.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $558.05 / $1,135.54	Facility		$327.43	$558.05	$1,135.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $658.88 / $4,292.39	Facility		$327.43	$658.88	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $599.92 / $1,204.40 / $4,083.04	Professional		$599.92	$1,204.40	$4,083.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $328.39 / $1,057.88	Professional		$52.59	$328.39	$1,057.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $558.05 / $1,135.54	Facility		$327.43	$558.05	$1,135.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $787.87 / $1,221.32 / $1,860.55	Professional		$787.87	$1,221.32	$1,860.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $1,587.64	Facility		$1,455.33	$1,455.33	$1,587.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $733.26 / $2,341.98 / $4,083.04	Professional		$733.26	$2,341.98	$4,083.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.44 / $2,142.78 / $3,540.65	Professional		$1,040.44	$2,142.78	$3,540.65
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 $590.64 / $1,537.04 / $2,388.78	Professional		$590.64	$1,537.04	$2,388.78