Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.44 / $1,139.30 / $1,693.75	Facility		$911.44	$1,139.30	$1,693.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.84 / $713.96 / $911.44	Professional		$584.84	$713.96	$911.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,632.99 / $1,974.78 / $2,088.71	Facility		$1,632.99	$1,974.78	$2,088.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.81 / $524.07 / $3,253.22	Professional		$303.81	$524.07	$3,253.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $1,856.22 / $1,929.21	Facility		$571.54	$1,856.22	$1,929.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.60 / $2,443.03 / $3,747.67	Facility		$2,090.60	$2,443.03	$3,747.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.67 / $2,045.26 / $2,324.16	Professional		$872.67	$2,045.26	$2,324.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $455.72 / $683.58 / $1,493.27	Facility		$455.72	$683.58	$1,493.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.72 / $759.53 / $3,607.77	Facility		$455.72	$759.53	$3,607.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $455.72 / $2,103.90	Professional		$49.19	$455.72	$2,103.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $759.53	Professional		$55.00	$85.00	$759.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $455.72 / $683.58 / $1,493.27	Facility		$455.72	$683.58	$1,493.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,239.63 / $1,852.10 / $2,540.07	Professional		$1,239.63	$1,852.10	$2,540.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,519.06 / $2,901.00 / $3,607.77	Facility		$1,519.06	$2,901.00	$3,607.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $402.55 / $3,797.65 / $3,797.65	Professional		$402.55	$3,797.65	$3,797.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.71 / $489.71 / $1,617.45	Professional		$489.71	$489.71	$1,617.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.71 / $2,401.01 / $4,147.03	Professional		$489.71	$2,401.01	$4,147.03
United Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $455.72 / $1,634.72	Professional		$49.82	$455.72	$1,634.72