Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.23 / $1,032.41 / $3,119.00	Facility		$488.23	$1,032.41	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.68 / $512.23 / $2,269.16	Professional		$472.68	$512.23	$2,269.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.17 / $1,126.69 / $2,858.05	Professional		$482.17	$1,126.69	$2,858.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $319.44 / $319.44	Facility		$319.44	$319.44	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.15 / $1,553.22 / $2,382.67	Facility		$1,329.15	$1,553.22	$2,382.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.06 / $1,751.78 / $2,307.78	Professional		$709.06	$1,751.78	$2,307.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.23 / $732.35 / $1,098.24	Facility		$488.23	$732.35	$1,098.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.23 / $804.08 / $1,590.00	Facility		$488.23	$804.08	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.33 / $1,189.11 / $3,854.23	Professional		$548.33	$1,189.11	$3,854.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $293.01 / $947.86	Professional		$61.84	$293.01	$947.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.23 / $719.31 / $1,098.24	Facility		$488.23	$719.31	$1,098.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,013.35 / $1,247.51 / $1,843.21	Professional		$1,013.35	$1,247.51	$1,843.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $2,960.35	Facility		$264.92	$264.92	$2,960.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $921.63 / $2,373.60 / $3,854.23	Professional		$921.63	$2,373.60	$3,854.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.52 / $3,182.12 / $3,231.92	Professional		$1,538.52	$3,182.12	$3,231.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $525.83 / $1,013.65 / $2,195.78	Professional		$525.83	$1,013.65	$2,195.78