Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.84 / $1,026.22 / $14,482.00	Facility		$482.84	$1,026.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.60 / $504.28 / $1,938.43	Professional		$460.60	$504.28	$1,938.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.82 / $1,114.24 / $2,821.45	Professional		$462.82	$1,114.24	$2,821.45
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 $1,301.22 / $1,520.58 / $2,332.60	Facility		$1,301.22	$1,520.58	$2,332.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.41 / $1,983.34 / $2,253.80	Professional		$731.41	$1,983.34	$2,253.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $409.14 / $583.80 / $1,140.25	Facility		$409.14	$583.80	$1,140.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.18 / $780.22 / $1,778.00	Facility		$454.18	$780.22	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $505.62 / $932.90 / $3,688.56	Professional		$505.62	$932.90	$3,688.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $294.30 / $946.75	Professional		$61.84	$294.30	$946.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $409.14 / $583.80 / $1,140.25	Facility		$409.14	$583.80	$1,140.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $992.55 / $1,209.38 / $1,805.37	Professional		$992.55	$1,209.38	$1,805.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $4,292.35	Facility		$264.92	$264.92	$4,292.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $927.91 / $2,320.65 / $3,688.56	Professional		$927.91	$2,320.65	$3,688.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.68 / $1,586.68 / $1,586.68	Professional		$1,586.68	$1,586.68	$1,586.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $568.44 / $2,423.14 / $3,156.32	Professional		$568.44	$2,423.14	$3,156.32
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 $481.01 / $928.26 / $2,111.79	Professional		$481.01	$928.26	$2,111.79