Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.84 / $775.46 / $1,894.00	Facility		$362.84	$775.46	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.84 / $397.66 / $1,640.64	Professional		$362.84	$397.66	$1,640.64
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 $372.47 / $725.68 / $2,109.02	Professional		$372.47	$725.68	$2,109.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $319.44 / $319.44	Facility		$319.44	$319.44	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,086.75 / $1,269.95 / $1,948.14	Facility		$1,086.75	$1,269.95	$1,948.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.29 / $1,326.38 / $1,867.85	Professional		$463.29	$1,326.38	$1,867.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.80 / $454.07 / $849.62	Facility		$316.80	$454.07	$849.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $344.65 / $544.26 / $1,449.00	Facility		$344.65	$544.26	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.56 / $857.74 / $3,034.96	Professional		$404.56	$857.74	$3,034.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $221.50 / $846.44	Professional		$31.53	$221.50	$846.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $341.71 / $454.07 / $849.62	Facility		$341.71	$454.07	$849.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $817.05 / $995.54 / $1,427.45	Professional		$817.05	$995.54	$1,427.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $2,204.65	Facility		$264.92	$264.92	$2,204.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $745.94 / $1,730.30 / $3,034.96	Professional		$745.94	$1,730.30	$3,034.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.02 / $1,186.02 / $1,298.99	Professional		$1,186.02	$1,186.02	$1,298.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.57 / $2,381.80 / $2,615.84	Professional		$1,109.57	$2,381.80	$2,615.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $404.56 / $771.03 / $1,668.69	Professional		$404.56	$771.03	$1,668.69