Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.86 / $1,955.92 / $2,907.81	Facility		$814.86	$1,955.92	$2,907.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $858.75 / $1,145.00	Professional		$479.76	$858.75	$1,145.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,803.49 / $3,390.27 / $3,585.86	Facility		$2,803.49	$3,390.27	$3,585.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $679.05 / $2,919.92	Professional		$335.33	$679.05	$2,919.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,564.74 / $1,916.43	Facility		$1,303.95	$1,564.74	$1,916.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,685.93	Professional		$1,303.95	$1,303.95	$1,685.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.92 / $2,183.98 / $3,522.69	Facility		$1,868.92	$2,183.98	$3,522.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $1,828.54 / $2,077.89	Professional		$675.00	$1,828.54	$2,077.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $427.80 / $611.15 / $2,281.91	Facility		$427.80	$611.15	$2,281.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.80 / $686.68 / $6,102.49	Facility		$427.80	$686.68	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $679.05 / $2,294.42	Professional		$407.43	$679.05	$2,294.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $1,303.95	Professional		$55.00	$85.00	$1,303.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $427.80 / $611.15 / $2,281.91	Facility		$427.80	$611.15	$2,281.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,776.28 / $3,076.86 / $4,360.74	Professional		$1,776.28	$3,076.86	$4,360.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,564.74 / $1,810.22 / $6,102.49	Facility		$1,564.74	$1,810.22	$6,102.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $4,563.83 / $6,493.67	Professional		$359.90	$4,563.83	$6,493.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $698.61 / $698.61 / $1,446.07	Professional		$698.61	$698.61	$1,446.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $698.61 / $2,707.08 / $3,707.61	Professional		$698.61	$2,707.08	$3,707.61
United Facility/Professional Facility Modifier Low / Median / High Price $603.60 / $603.60 / $1,637.27	Facility		$603.60	$603.60	$1,637.27
United Facility/Professional Professional Modifier Low / Median / High Price $406.07 / $651.98 / $1,860.94	Professional		$406.07	$651.98	$1,860.94