Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.50 / $1,154.36 / $1,716.16	Facility		$923.50	$1,154.36	$1,716.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.58 / $731.10 / $1,169.76	Professional		$592.58	$731.10	$1,169.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,654.60 / $2,000.91 / $2,116.35	Facility		$1,654.60	$2,000.91	$2,116.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $769.58 / $3,296.27	Professional		$307.83	$769.58	$3,296.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,880.78 / $1,880.78 / $1,954.73	Facility		$1,880.78	$1,880.78	$1,954.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.63 / $2,474.62 / $3,796.13	Facility		$2,117.63	$2,474.62	$3,796.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.23 / $2,072.32 / $2,354.91	Professional		$884.23	$2,072.32	$2,354.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $592.58 / $923.50 / $2,693.53	Facility		$592.58	$923.50	$2,693.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.62 / $923.50 / $2,693.53	Facility		$692.62	$923.50	$2,693.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.79 / $461.75 / $2,373.27	Professional		$384.79	$461.75	$2,373.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $384.79	Professional		$50.00	$70.00	$384.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $592.58 / $923.50 / $2,693.53	Facility		$592.58	$923.50	$2,693.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,463.46 / $1,876.56 / $2,573.60	Professional		$1,463.46	$1,876.56	$2,573.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,539.16 / $3,655.51 / $3,655.51	Facility		$1,539.16	$3,655.51	$3,655.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,115.89 / $3,847.90 / $3,847.90	Professional		$1,115.89	$3,847.90	$3,847.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.85 / $1,638.85 / $1,638.85	Professional		$1,638.85	$1,638.85	$1,638.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.56 / $4,201.91 / $4,201.91	Professional		$2,236.56	$4,201.91	$4,201.91
United Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $769.58 / $769.58	Facility		$769.58	$769.58	$769.58
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $461.75 / $1,616.12	Professional		$323.22	$461.75	$1,616.12