Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $1,087.27 / $8,243.00	Facility		$360.17	$1,087.27	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.14 / $519.21 / $4,139.50	Professional		$343.14	$519.21	$4,139.50
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 $456.28 / $831.17 / $2,213.60	Professional		$456.28	$831.17	$2,213.60
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 $1,410.25 / $1,647.99 / $2,528.06	Facility		$1,410.25	$1,647.99	$2,528.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.58 / $1,382.66 / $2,420.32	Professional		$595.58	$1,382.66	$2,420.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $581.78 / $1,087.27	Facility		$360.17	$581.78	$1,087.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $370.43 / $687.69 / $7,160.00	Facility		$370.43	$687.69	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $559.04 / $1,159.92 / $3,930.96	Professional		$559.04	$1,159.92	$3,930.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $313.87 / $1,043.79	Professional		$61.84	$313.87	$1,043.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $581.22 / $1,087.27	Facility		$360.17	$581.22	$1,087.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $848.77 / $1,204.04 / $1,769.49	Professional		$848.77	$1,204.04	$1,769.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,732.48 / $1,732.48 / $3,244.77	Facility		$1,732.48	$1,732.48	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.59 / $2,248.79 / $3,930.96	Professional		$776.59	$2,248.79	$3,930.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.76 / $2,368.11 / $3,399.70	Professional		$1,141.76	$2,368.11	$3,399.70
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 $529.04 / $1,052.56 / $2,345.62	Professional		$529.04	$1,052.56	$2,345.62