Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $654.77 / $3,119.00	Facility		$307.58	$654.77	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $454.90 / $1,664.02	Professional		$295.11	$454.90	$1,664.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.65 / $709.81 / $1,812.16	Professional		$389.65	$709.81	$1,812.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.93 / $1,438.44 / $2,206.60	Facility		$1,230.93	$1,438.44	$2,206.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.26 / $1,148.32 / $2,117.05	Professional		$509.26	$1,148.32	$2,117.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $496.76 / $948.69	Facility		$307.58	$496.76	$948.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.56 / $621.29 / $4,292.39	Facility		$318.56	$621.29	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.44 / $1,035.68 / $3,425.36	Professional		$510.44	$1,035.68	$3,425.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $255.86 / $853.17	Professional		$52.59	$255.86	$853.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $493.83 / $948.69	Facility		$307.58	$493.83	$948.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.47 / $1,046.42 / $1,542.40	Professional		$724.47	$1,046.42	$1,542.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $1,472.00	Facility		$1,455.33	$1,455.33	$1,472.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.99 / $1,961.15 / $3,425.36	Professional		$660.99	$1,961.15	$3,425.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $975.76 / $2,015.60 / $2,964.82	Professional		$975.76	$2,015.60	$2,964.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.21 / $924.32 / $2,094.37	Professional		$487.21	$924.32	$2,094.37