Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.91 / $949.88 / $1,894.00	Facility		$446.91	$949.88	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $482.07 / $2,163.00	Professional		$446.00	$482.07	$2,163.00
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 $457.94 / $1,031.33 / $2,621.07	Professional		$457.94	$1,031.33	$2,621.07
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 $1,304.82 / $1,524.79 / $2,339.06	Facility		$1,304.82	$1,524.79	$2,339.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $1,450.82 / $2,249.81	Professional		$599.25	$1,450.82	$2,249.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.91 / $581.99 / $1,021.99	Facility		$446.91	$581.99	$1,021.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.68 / $671.60 / $1,449.00	Facility		$454.68	$671.60	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.07 / $1,100.43 / $3,665.20	Professional		$512.07	$1,100.43	$3,665.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $295.74 / $958.08	Professional		$61.84	$295.74	$958.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $446.91 / $572.00 / $1,021.99	Facility		$446.91	$572.00	$1,021.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $982.80 / $1,197.50 / $1,723.20	Professional		$982.80	$1,197.50	$1,723.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $2,166.71	Facility		$264.92	$264.92	$2,166.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.49 / $2,127.30 / $3,665.20	Professional		$898.49	$2,127.30	$3,665.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.54 / $2,921.04 / $3,150.79	Professional		$1,415.54	$2,921.04	$3,150.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $501.64 / $912.80 / $2,080.81	Professional		$501.64	$912.80	$2,080.81