Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.09 / $988.07 / $14,482.00	Facility		$465.09	$988.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.80 / $484.52 / $1,866.35	Professional		$428.80	$484.52	$1,866.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $3,163.00 / $5,768.00	Facility		$1,314.00	$3,163.00	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.96 / $1,062.34 / $2,848.61	Professional		$447.96	$1,062.34	$2,848.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $685.35 / $685.35 / $685.35	Facility		$685.35	$685.35	$685.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,256.16 / $1,467.92 / $2,251.83	Facility		$1,256.16	$1,467.92	$2,251.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.29 / $1,844.40 / $2,172.63	Professional		$602.29	$1,844.40	$2,172.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $462.32 / $592.96 / $988.07	Facility		$462.32	$592.96	$988.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $465.09 / $750.69 / $1,778.00	Facility		$465.09	$750.69	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.21 / $951.42 / $3,552.32	Professional		$487.21	$951.42	$3,552.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $221.50 / $950.10	Professional		$58.42	$221.50	$950.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $462.32 / $585.95 / $988.07	Facility		$462.32	$585.95	$988.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.85 / $1,163.45 / $1,736.80	Professional		$954.85	$1,163.45	$1,736.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $674.55 / $674.55 / $3,956.82	Facility		$674.55	$674.55	$3,956.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $894.50 / $2,239.40 / $3,552.32	Professional		$894.50	$2,239.40	$3,552.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.91 / $1,527.91 / $1,527.91	Professional		$1,527.91	$1,527.91	$1,527.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $881.08 / $2,337.56 / $3,042.69	Professional		$881.08	$2,337.56	$3,042.69
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 $487.21 / $913.68 / $2,037.85	Professional		$487.21	$913.68	$2,037.85