Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $1,955.92 / $2,907.81	Facility		$701.88	$1,955.92	$2,907.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $701.88 / $845.65	Professional		$467.92	$701.88	$845.65
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 $288.83 / $584.90 / $2,515.07	Professional		$288.83	$584.90	$2,515.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $888.66 / $1,588.27 / $1,650.72	Facility		$888.66	$1,588.27	$1,650.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,609.40 / $1,880.71 / $3,033.52	Facility		$1,609.40	$1,880.71	$3,033.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $1,575.02 / $1,872.96	Professional		$675.00	$1,575.02	$1,872.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $526.41 / $2,281.91	Facility		$368.49	$526.41	$2,281.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $591.25 / $6,102.49	Facility		$368.49	$591.25	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $641.86 / $1,915.07	Professional		$350.94	$641.86	$1,915.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $1,303.95	Professional		$55.00	$70.00	$1,303.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $526.41 / $2,281.91	Facility		$368.49	$526.41	$2,281.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,523.01 / $3,076.86 / $4,360.74	Professional		$1,523.01	$3,076.86	$4,360.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $1,564.74 / $6,102.49	Facility		$310.00	$1,564.74	$6,102.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $4,563.83 / $6,493.67	Professional		$310.00	$4,563.83	$6,493.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $601.75 / $601.75 / $1,245.57	Professional		$601.75	$601.75	$1,245.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $601.75 / $2,950.35 / $3,193.55	Professional		$601.75	$2,950.35	$3,193.55
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $481.40 / $1,621.79	Professional		$350.94	$481.40	$1,621.79