Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.26 / $1,998.54 / $10,606.05	Facility		$381.26	$1,998.54	$10,606.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $525.62 / $2,118.16	Professional		$314.33	$525.62	$2,118.16
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 $482.98 / $879.83 / $2,330.63	Professional		$482.98	$879.83	$2,330.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.62 / $463.45 / $3,462.54	Facility		$368.62	$463.45	$3,462.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.03 / $514.53 / $677.25	Professional		$490.03	$514.53	$677.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.10 / $1,692.22 / $2,595.91	Facility		$1,448.10	$1,692.22	$2,595.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.80 / $1,436.95 / $2,478.08	Professional		$589.80	$1,436.95	$2,478.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.26 / $577.39 / $1,121.38	Facility		$381.26	$577.39	$1,121.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.26 / $744.60 / $7,160.00	Facility		$381.26	$744.60	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.53 / $1,187.66 / $4,033.04	Professional		$534.53	$1,187.66	$4,033.04
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 $381.26 / $571.89 / $1,121.38	Facility		$381.26	$571.89	$1,121.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $876.96 / $1,252.58 / $1,825.70	Professional		$876.96	$1,252.58	$1,825.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,838.80 / $1,838.80 / $3,244.77	Facility		$1,838.80	$1,838.80	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $824.18 / $2,307.46 / $4,033.04	Professional		$824.18	$2,307.46	$4,033.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.55 / $2,513.21 / $3,488.50	Professional		$1,218.55	$2,513.21	$3,488.50
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 $530.94 / $1,080.52 / $2,325.23	Professional		$530.94	$1,080.52	$2,325.23