Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.71 / $949.34 / $14,482.00	Facility		$445.71	$949.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.80 / $461.49 / $2,188.01	Professional		$423.80	$461.49	$2,188.01
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 $397.48 / $988.73 / $2,598.59	Professional		$397.48	$988.73	$2,598.59
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 $1,207.50 / $1,411.06 / $2,164.60	Facility		$1,207.50	$1,411.06	$2,164.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.84 / $1,834.80 / $2,085.00	Professional		$652.84	$1,834.80	$2,085.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $421.93 / $528.00 / $949.34	Facility		$421.93	$528.00	$949.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.93 / $718.05 / $1,778.00	Facility		$421.93	$718.05	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.91 / $797.17 / $3,402.64	Professional		$433.91	$797.17	$3,402.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $272.92 / $879.76	Professional		$50.00	$272.92	$879.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $421.93 / $524.65 / $949.34	Facility		$421.93	$524.65	$949.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $915.20 / $1,115.14 / $1,601.47	Professional		$915.20	$1,115.14	$1,601.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $2,166.40	Facility		$264.92	$264.92	$2,166.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $858.43 / $1,983.00 / $3,402.64	Professional		$858.43	$1,983.00	$3,402.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.36 / $1,461.36 / $1,461.36	Professional		$1,461.36	$1,461.36	$1,461.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.33 / $2,224.48 / $2,920.00	Professional		$426.33	$2,224.48	$2,920.00
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 $421.93 / $786.99 / $1,804.53	Professional		$421.93	$786.99	$1,804.53