Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.13 / $834.66 / $1,487.55	Facility		$486.13	$834.66	$1,487.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.08 / $810.16 / $2,030.00	Professional		$335.08	$810.16	$2,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.70 / $1,197.61 / $1,976.73	Professional		$517.70	$1,197.61	$1,976.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $414.49 / $645.23 / $645.23	Facility		$414.49	$645.23	$645.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.29 / $810.02 / $1,252.03	Professional		$520.29	$810.02	$1,252.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.96 / $1,651.15 / $2,663.25	Facility		$1,412.96	$1,651.15	$2,663.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.29 / $1,205.91 / $1,826.23	Professional		$638.29	$1,205.91	$1,826.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $403.46 / $605.15 / $1,059.80	Facility		$403.46	$605.15	$1,059.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.46 / $797.56 / $6,235.00	Facility		$403.46	$797.56	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.22 / $1,284.65 / $3,108.56	Professional		$523.22	$1,284.65	$3,108.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $622.76 / $1,307.98	Professional		$85.00	$622.76	$1,307.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $403.46 / $605.15 / $1,059.80	Facility		$403.46	$605.15	$1,059.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $967.77 / $1,333.51 / $1,800.30	Professional		$967.77	$1,333.51	$1,800.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,970.98 / $1,970.98 / $1,970.98	Facility		$1,970.98	$1,970.98	$1,970.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $590.75 / $2,285.64 / $4,085.84	Professional		$590.75	$2,285.64	$4,085.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $773.71 / $1,271.08 / $1,693.95	Professional		$773.71	$1,271.08	$1,693.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.84 / $1,011.60 / $1,898.87	Professional		$521.84	$1,011.60	$1,898.87