Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.92 / $871.97 / $10,705.83	Facility		$215.92	$871.97	$10,705.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.92 / $399.93 / $1,759.50	Professional		$215.92	$399.93	$1,759.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.46 / $774.67 / $1,658.20	Professional		$374.46	$774.67	$1,658.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.30 / $235.55 / $326.45	Facility		$234.30	$235.55	$326.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $426.29 / $521.79	Professional		$387.54	$426.29	$521.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.02 / $1,331.03 / $2,041.83	Facility		$1,139.02	$1,331.03	$2,041.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $658.66 / $1,178.75	Professional		$303.89	$658.66	$1,178.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $496.05 / $1,142.19	Facility		$255.74	$496.05	$1,142.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $698.70 / $1,756.00	Facility		$272.27	$698.70	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.66 / $769.97 / $1,914.08	Professional		$414.66	$769.97	$1,914.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $310.57 / $790.03	Professional		$29.98	$310.57	$790.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $496.05 / $1,142.19	Facility		$255.74	$496.05	$1,142.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $565.73 / $871.26 / $1,369.56	Professional		$565.73	$871.26	$1,369.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $497.01 / $664.25 / $1,802.64	Facility		$497.01	$664.25	$1,802.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $454.82 / $1,272.50 / $3,161.36	Professional		$454.82	$1,272.50	$3,161.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $496.60 / $1,095.26 / $1,831.99	Professional		$496.60	$1,095.26	$1,831.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $391.32 / $604.41 / $1,583.99	Professional		$391.32	$604.41	$1,583.99