Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.11 / $4,885.14 / $7,917.00	Facility		$504.11	$4,885.14	$7,917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $504.11 / $5,016.00	Professional		$330.32	$504.11	$5,016.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.31 / $1,099.24 / $1,818.74	Facility		$999.31	$1,099.24	$1,818.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.36 / $929.36 / $1,229.15	Professional		$929.36	$929.36	$1,229.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.90 / $2,138.52 / $2,138.52	Facility		$718.90	$2,138.52	$2,138.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $2,685.34 / $4,170.70	Facility		$666.06	$2,685.34	$4,170.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $1,471.14 / $1,891.28	Professional		$566.15	$1,471.14	$1,891.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $241.39 / $756.17 / $1,149.21	Facility		$241.39	$756.17	$1,149.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $572.17 / $816.88 / $1,199.17	Professional		$572.17	$816.88	$1,199.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $417.86 / $997.47 / $3,903.56	Facility		$417.86	$997.47	$3,903.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.12 / $563.37 / $1,088.13	Professional		$398.12	$563.37	$1,088.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $241.39 / $756.17 / $1,149.21	Facility		$241.39	$756.17	$1,149.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $572.17 / $816.88 / $1,199.17	Professional		$572.17	$816.88	$1,199.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $999.31 / $1,498.97 / $2,243.27	Professional		$999.31	$1,498.97	$2,243.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $1,951.78 / $3,903.56	Facility		$666.06	$1,951.78	$3,903.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $666.06 / $4,976.56	Professional		$566.15	$666.06	$4,976.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $999.31 / $999.31 / $999.31	Professional		$999.31	$999.31	$999.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $797.93 / $999.31 / $999.31	Professional		$797.93	$999.31	$999.31
United Facility/Professional Professional Modifier Low / Median / High Price $337.94 / $562.67 / $857.07	Professional		$337.94	$562.67	$857.07