Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.94 / $830.81 / $2,251.57	Facility		$390.94	$830.81	$2,251.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.94 / $608.55 / $2,079.80	Professional		$390.94	$608.55	$2,079.80
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 $495.24 / $892.59 / $2,282.80	Professional		$495.24	$892.59	$2,282.80
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 $1,645.45 / $1,922.83 / $2,949.67	Facility		$1,645.45	$1,922.83	$2,949.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.67 / $1,502.33 / $2,815.70	Professional		$625.67	$1,502.33	$2,815.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.80 / $608.55 / $1,263.34	Facility		$376.80	$608.55	$1,263.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.10 / $712.02 / $7,160.00	Facility		$381.10	$712.02	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.49 / $1,303.72 / $4,555.84	Professional		$561.49	$1,303.72	$4,555.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $374.59 / $1,207.21	Professional		$52.59	$374.59	$1,207.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $377.58 / $608.55 / $1,263.34	Facility		$377.58	$608.55	$1,263.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $941.05 / $1,401.33 / $2,085.39	Professional		$941.05	$1,401.33	$2,085.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,899.20 / $1,899.20 / $3,244.77	Facility		$1,899.20	$1,899.20	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $838.31 / $2,608.34 / $4,555.84	Professional		$838.31	$2,608.34	$4,555.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.76 / $1,283.76 / $2,020.75	Professional		$1,283.76	$1,283.76	$2,020.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.91 / $2,556.29 / $3,943.30	Professional		$1,388.91	$2,556.29	$3,943.30
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 $576.41 / $1,129.70 / $2,702.11	Professional		$576.41	$1,129.70	$2,702.11