Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.79 / $836.78 / $1,894.00	Facility		$392.79	$836.78	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.92 / $432.63 / $1,739.78	Professional		$357.92	$432.63	$1,739.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.31 / $906.43 / $2,291.02	Professional		$411.31	$906.43	$2,291.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.96 / $1,374.20 / $2,108.06	Facility		$1,175.96	$1,374.20	$2,108.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.35 / $1,306.14 / $2,149.57	Professional		$529.35	$1,306.14	$2,149.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.90 / $493.80 / $917.18	Facility		$371.90	$493.80	$917.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.90 / $589.19 / $1,513.00	Facility		$371.90	$589.19	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $945.78 / $3,301.68	Professional		$448.78	$945.78	$3,301.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $276.95 / $882.17	Professional		$52.59	$276.95	$882.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $371.90 / $491.23 / $917.18	Facility		$371.90	$491.23	$917.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $885.30 / $1,078.70 / $1,610.29	Professional		$885.30	$1,078.70	$1,610.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $1,910.68	Facility		$1,722.47	$1,722.47	$1,910.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $809.24 / $1,878.80 / $3,301.68	Professional		$809.24	$1,878.80	$3,301.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.39 / $1,288.39 / $1,419.23	Professional		$1,288.39	$1,288.39	$1,419.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.98 / $2,573.44 / $2,837.84	Professional		$1,246.98	$2,573.44	$2,837.84
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 $446.79 / $819.76 / $1,874.92	Professional		$446.79	$819.76	$1,874.92