Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.25 / $4,799.20 / $10,106.28	Facility		$313.25	$4,799.20	$10,106.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.17 / $637.73 / $3,080.53	Professional		$313.17	$637.73	$3,080.53
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 $396.83 / $722.87 / $1,969.98	Professional		$396.83	$722.87	$1,969.98
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 $1,665.27 / $1,946.00 / $2,985.21	Facility		$1,665.27	$1,946.00	$2,985.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.74 / $1,362.95 / $3,124.43	Professional		$547.74	$1,362.95	$3,124.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $308.70 / $616.91 / $1,272.13	Facility		$308.70	$616.91	$1,272.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.25 / $673.42 / $4,377.80	Facility		$313.25	$673.42	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $629.87 / $1,332.59 / $4,561.84	Professional		$629.87	$1,332.59	$4,561.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $361.93 / $1,176.01	Professional		$52.59	$361.93	$1,176.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $308.70 / $616.91 / $1,272.13	Facility		$308.70	$616.91	$1,272.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $750.50 / $1,324.80 / $2,068.53	Professional		$750.50	$1,324.80	$2,068.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,516.76 / $1,516.76 / $1,722.47	Facility		$1,516.76	$1,516.76	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $701.24 / $2,386.48 / $4,561.84	Professional		$701.24	$2,386.48	$4,561.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $993.16 / $2,049.21 / $3,969.37	Professional		$993.16	$2,049.21	$3,969.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.95 / $1,106.11 / $2,511.33	Professional		$596.95	$1,106.11	$2,511.33