Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.72 / $1,955.92 / $2,907.81	Facility		$526.72	$1,955.92	$2,907.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $412.59 / $526.72	Professional		$351.14	$412.59	$526.72
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 $216.76 / $438.93 / $1,887.40	Professional		$216.76	$438.93	$1,887.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $666.88 / $1,191.89 / $1,303.95	Facility		$666.88	$1,191.89	$1,303.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.50 / $1,411.06 / $2,275.98	Facility		$1,207.50	$1,411.06	$2,275.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.95 / $1,343.13 / $1,872.96	Professional		$1,181.95	$1,343.13	$1,872.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $395.04 / $2,281.91	Facility		$276.52	$395.04	$2,281.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $443.69 / $6,102.49	Facility		$276.52	$443.69	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $481.68 / $1,564.74	Professional		$263.36	$481.68	$1,564.74
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 $276.52 / $395.04 / $2,281.91	Facility		$276.52	$395.04	$2,281.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.58 / $3,076.86 / $4,360.74	Professional		$1,148.58	$3,076.86	$4,360.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $232.63 / $1,564.74 / $6,102.49	Facility		$232.63	$1,564.74	$6,102.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $4,563.83 / $6,493.67	Professional		$232.63	$4,563.83	$6,493.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $451.58 / $934.72	Professional		$451.58	$451.58	$934.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $1,749.83 / $2,396.56	Professional		$451.58	$1,749.83	$2,396.56
United Facility/Professional Professional Modifier Low / Median / High Price $262.48 / $361.26 / $1,264.41	Professional		$262.48	$361.26	$1,264.41