Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.20 / $1,096.99 / $4,251.32	Facility		$355.20	$1,096.99	$4,251.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.57 / $516.78 / $1,356.78	Professional		$338.57	$516.78	$1,356.78
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 $449.98 / $819.70 / $2,303.42	Professional		$449.98	$819.70	$2,303.42
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 $611.71 / $1,337.85 / $2,423.92	Professional		$611.71	$1,337.85	$2,423.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.20 / $536.73 / $1,096.99	Facility		$355.20	$536.73	$1,096.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.15 / $632.39 / $7,160.00	Facility		$358.15	$632.39	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.61 / $1,162.28 / $3,926.96	Professional		$548.61	$1,162.28	$3,926.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $308.96 / $1,024.23	Professional		$61.84	$308.96	$1,024.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.20 / $536.73 / $1,096.99	Facility		$355.20	$536.73	$1,096.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $850.30 / $1,218.99 / $1,795.35	Professional		$850.30	$1,218.99	$1,795.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,715.52 / $1,715.52 / $3,244.77	Facility		$1,715.52	$1,715.52	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $764.26 / $2,245.41 / $3,926.96	Professional		$764.26	$2,245.41	$3,926.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.49 / $2,330.48 / $3,394.58	Professional		$1,134.49	$2,330.48	$3,394.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $1,038.08 / $2,344.77	Professional		$565.00	$1,038.08	$2,344.77