Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.66 / $966.40 / $10,433.10	Facility		$253.66	$966.40	$10,433.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.66 / $513.72 / $1,909.00	Professional		$253.66	$513.72	$1,909.00
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 $441.77 / $904.19 / $1,856.43	Professional		$441.77	$904.19	$1,856.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.49 / $275.97 / $381.93	Facility		$274.49	$275.97	$381.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $429.51 / $472.46 / $579.24	Professional		$429.51	$472.46	$579.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.96 / $1,470.03 / $2,255.06	Facility		$1,257.96	$1,470.03	$2,255.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.02 / $742.43 / $1,303.85	Professional		$376.02	$742.43	$1,303.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $299.64 / $558.36 / $1,287.21	Facility		$299.64	$558.36	$1,287.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.16 / $818.70 / $1,756.00	Facility		$331.16	$818.70	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $484.68 / $918.08 / $2,245.04	Professional		$484.68	$918.08	$2,245.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $343.35 / $938.82	Professional		$29.98	$343.35	$938.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $299.64 / $558.36 / $1,287.21	Facility		$299.64	$558.36	$1,287.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $666.05 / $1,009.44 / $1,516.68	Professional		$666.05	$1,009.44	$1,516.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $582.29 / $778.24 / $2,112.96	Facility		$582.29	$778.24	$2,112.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $507.43 / $1,494.95 / $3,502.16	Professional		$507.43	$1,494.95	$3,502.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $657.65 / $1,284.18 / $2,026.69	Professional		$657.65	$1,284.18	$2,026.69
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 $457.33 / $729.35 / $1,920.21	Professional		$457.33	$729.35	$1,920.21