Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.80 / $1,371.00 / $2,038.22	Facility		$1,096.80	$1,371.00	$2,038.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $859.16 / $1,096.80	Professional		$731.20	$859.16	$1,096.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $3,914.85	Professional		$846.27	$846.27	$3,914.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $687.79 / $2,233.73 / $2,321.56	Facility		$687.79	$2,233.73	$2,321.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,515.03 / $2,939.01 / $4,508.51	Facility		$2,515.03	$2,939.01	$4,508.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.26 / $2,461.21 / $2,796.84	Professional		$1,050.26	$2,461.21	$2,796.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $822.60 / $1,796.96	Facility		$457.00	$822.60	$1,796.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $859.16 / $4,341.50	Facility		$457.00	$859.16	$4,341.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $731.20 / $2,531.78	Professional		$457.00	$731.20	$2,531.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $2,522.64	Professional		$55.00	$85.00	$2,522.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $822.60 / $1,796.96	Facility		$457.00	$822.60	$1,796.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,214.60 / $2,179.69 / $3,057.17	Professional		$1,214.60	$2,179.69	$3,057.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $1,828.00 / $4,341.50	Facility		$484.42	$1,828.00	$4,341.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $4,570.00 / $4,570.00	Professional		$484.42	$4,570.00	$4,570.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,946.40 / $1,946.40 / $1,946.40	Professional		$1,946.40	$1,946.40	$1,946.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,798.50 / $4,990.43 / $4,990.43	Professional		$4,798.50	$4,990.43	$4,990.43
United Facility/Professional Facility Modifier Low / Median / High Price $731.20 / $731.20 / $1,983.38	Facility		$731.20	$731.20	$1,983.38
United Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $731.20 / $1,701.32	Professional		$457.00	$731.20	$1,701.32