Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.48 / $1,019.35 / $1,515.44	Facility		$815.48	$1,019.35	$1,515.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.27 / $638.79 / $815.48	Professional		$523.27	$638.79	$815.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,461.08 / $1,766.88 / $1,868.82	Facility		$1,461.08	$1,766.88	$1,868.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $468.90 / $2,910.74	Professional		$271.83	$468.90	$2,910.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.38 / $1,660.81 / $1,726.11	Facility		$511.38	$1,660.81	$1,726.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,869.82 / $2,185.04 / $3,351.90	Facility		$1,869.82	$2,185.04	$3,351.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.98 / $1,829.95 / $2,079.48	Professional		$780.98	$1,829.95	$2,079.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.74 / $611.61 / $1,336.06	Facility		$407.74	$611.61	$1,336.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.74 / $638.79 / $3,227.96	Facility		$407.74	$638.79	$3,227.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.79 / $543.66 / $1,882.41	Professional		$339.79	$543.66	$1,882.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $679.57	Professional		$55.00	$85.00	$679.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $407.74 / $611.61 / $1,336.06	Facility		$407.74	$611.61	$1,336.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,134.54 / $1,620.50 / $2,272.86	Professional		$1,134.54	$1,620.50	$2,272.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $1,359.14 / $3,227.96	Facility		$360.17	$1,359.14	$3,227.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.17 / $3,397.85 / $3,397.85	Professional		$360.17	$3,397.85	$3,397.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.17 / $1,447.17 / $1,447.17	Professional		$1,447.17	$1,447.17	$1,447.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.98 / $3,710.45 / $3,710.45	Professional		$1,974.98	$3,710.45	$3,710.45
United Facility/Professional Professional Modifier Low / Median / High Price $339.79 / $435.13 / $1,427.10	Professional		$339.79	$435.13	$1,427.10