Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.80 / $1,014.75 / $1,508.59	Facility		$811.80	$1,014.75	$1,508.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $668.50 / $811.80	Professional		$541.20	$668.50	$811.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,454.48 / $1,758.90 / $1,860.38	Facility		$1,454.48	$1,758.90	$1,860.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $676.50 / $2,897.59	Professional		$282.81	$676.50	$2,897.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $1,718.31	Facility		$1,653.30	$1,653.30	$1,718.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,861.71 / $2,175.56 / $3,337.36	Facility		$1,861.71	$2,175.56	$3,337.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.27 / $1,821.68 / $2,070.09	Professional		$777.27	$1,821.68	$2,070.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.91 / $811.80 / $2,367.75	Facility		$520.91	$811.80	$2,367.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.85 / $811.80 / $2,367.75	Facility		$608.85	$811.80	$2,367.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.09 / $468.77 / $2,180.34	Professional		$364.09	$468.77	$2,180.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $625.03	Professional		$50.00	$70.00	$625.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $520.91 / $811.80 / $2,367.75	Facility		$520.91	$811.80	$2,367.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,359.15 / $1,649.38 / $2,300.10	Professional		$1,359.15	$1,649.38	$2,300.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $3,213.38 / $3,213.38	Facility		$1,353.00	$3,213.38	$3,213.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $980.93 / $3,382.50 / $3,382.50	Professional		$980.93	$3,382.50	$3,382.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $589.19 / $589.19 / $1,440.64	Professional		$589.19	$589.19	$1,440.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $589.19 / $589.19 / $3,693.69	Professional		$589.19	$589.19	$3,693.69
United Facility/Professional Professional Modifier Low / Median / High Price $328.14 / $468.77 / $1,640.71	Professional		$328.14	$468.77	$1,640.71