Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.64 / $3,119.00 / $14,482.00	Facility		$443.64	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $555.58 / $2,349.81	Professional		$380.62	$555.58	$2,349.81
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 $426.19 / $1,023.78 / $2,712.41	Professional		$426.19	$1,023.78	$2,712.41
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 $1,194.89 / $1,396.32 / $2,141.98	Facility		$1,194.89	$1,396.32	$2,141.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.13 / $1,921.30 / $2,278.83	Professional		$661.13	$1,921.30	$2,278.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $443.64 / $596.66 / $1,045.65	Facility		$443.64	$596.66	$1,045.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.64 / $879.12 / $5,261.00	Facility		$443.64	$879.12	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.72 / $894.61 / $4,370.21	Professional		$475.72	$894.61	$4,370.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $273.32 / $879.76	Professional		$61.81	$273.32	$879.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $443.64 / $596.66 / $1,045.65	Facility		$443.64	$596.66	$1,045.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $904.80 / $1,102.46 / $1,645.76	Professional		$904.80	$1,102.46	$1,645.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.09 / $2,132.25 / $4,370.21	Professional		$851.09	$2,132.25	$4,370.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $994.77 / $2,238.48 / $2,895.04	Professional		$994.77	$2,238.48	$2,895.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.72 / $805.40 / $1,904.18	Professional		$475.72	$805.40	$1,904.18