Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.73 / $1,648.67 / $14,482.00	Facility		$434.73	$1,648.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.57 / $450.86 / $2,020.08	Professional		$405.57	$450.86	$2,020.08
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 $423.46 / $1,003.22 / $2,671.50	Professional		$423.46	$1,003.22	$2,671.50
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 $1,172.35 / $1,369.99 / $2,101.60	Facility		$1,172.35	$1,369.99	$2,101.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.39 / $1,885.51 / $2,238.44	Professional		$653.39	$1,885.51	$2,238.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $423.90 / $558.35 / $925.07	Facility		$423.90	$558.35	$925.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.90 / $876.82 / $5,261.00	Facility		$423.90	$876.82	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.68 / $891.49 / $4,047.02	Professional		$475.68	$891.49	$4,047.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $265.56 / $837.48	Professional		$61.81	$265.56	$837.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $423.90 / $549.04 / $925.07	Facility		$423.90	$549.04	$925.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.15 / $1,085.83 / $1,620.93	Professional		$891.15	$1,085.83	$1,620.93
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 $836.03 / $2,113.05 / $4,047.02	Professional		$836.03	$2,113.05	$4,047.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $781.61 / $2,230.34 / $2,843.79	Professional		$781.61	$2,230.34	$2,843.79
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 $458.34 / $846.72 / $1,887.04	Professional		$458.34	$846.72	$1,887.04