Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.96 / $813.94 / $1,595.86	Facility		$380.96	$813.94	$1,595.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.78 / $419.79 / $1,595.86	Professional		$353.78	$419.79	$1,595.86
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 $363.41 / $835.18 / $2,218.92	Professional		$363.41	$835.18	$2,218.92
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 $1,143.52 / $1,336.30 / $2,049.91	Facility		$1,143.52	$1,336.30	$2,049.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.77 / $1,272.44 / $2,094.12	Professional		$470.77	$1,272.44	$2,094.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $361.75 / $477.56 / $904.38	Facility		$361.75	$477.56	$904.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.75 / $571.44 / $1,449.00	Facility		$361.75	$571.44	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.97 / $841.10 / $3,199.68	Professional		$397.97	$841.10	$3,199.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $270.90 / $843.35	Professional		$52.59	$270.90	$843.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $361.75 / $477.56 / $904.38	Facility		$361.75	$477.56	$904.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $859.30 / $1,047.02 / $1,532.90	Professional		$859.30	$1,047.02	$1,532.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $1,854.52	Facility		$264.92	$264.92	$1,854.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $785.68 / $1,822.46 / $3,199.68	Professional		$785.68	$1,822.46	$3,199.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.69 / $1,249.69 / $1,374.94	Professional		$1,249.69	$1,249.69	$1,374.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.66 / $2,501.59 / $2,755.20	Professional		$1,101.66	$2,501.59	$2,755.20
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 $397.97 / $732.92 / $1,667.39	Professional		$397.97	$732.92	$1,667.39