Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.54 / $1,067.51 / $3,119.00	Facility		$355.54	$1,067.51	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $502.00 / $1,681.89	Professional		$331.83	$502.00	$1,681.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.40 / $820.48 / $2,192.71	Professional		$450.40	$820.48	$2,192.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.72 / $1,621.67 / $2,487.67	Facility		$1,387.72	$1,621.67	$2,487.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.29 / $1,279.78 / $2,388.26	Professional		$588.29	$1,279.78	$2,388.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.54 / $569.34 / $1,067.51	Facility		$355.54	$569.34	$1,067.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.78 / $671.94 / $7,318.00	Facility		$365.78	$671.94	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.98 / $1,154.63 / $3,867.52	Professional		$557.98	$1,154.63	$3,867.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $224.24 / $976.25	Professional		$58.42	$224.24	$976.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.54 / $569.34 / $1,067.51	Facility		$355.54	$569.34	$1,067.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $835.38 / $1,188.90 / $1,739.14	Professional		$835.38	$1,188.90	$1,739.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,711.20 / $1,711.20 / $3,244.77	Facility		$1,711.20	$1,711.20	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $766.38 / $2,212.38 / $3,867.52	Professional		$766.38	$2,212.38	$3,867.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.83 / $2,336.98 / $3,344.72	Professional		$1,125.83	$2,336.98	$3,344.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.49 / $1,036.58 / $2,334.92	Professional		$564.49	$1,036.58	$2,334.92