Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.67 / $894.26 / $3,119.00	Facility		$419.67	$894.26	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.67 / $475.41 / $1,916.30	Professional		$419.67	$475.41	$1,916.30
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 $437.88 / $968.48 / $2,564.88	Professional		$437.88	$968.48	$2,564.88
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 $1,252.56 / $1,463.71 / $2,245.37	Facility		$1,252.56	$1,463.71	$2,245.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.99 / $1,394.34 / $2,201.26	Professional		$544.99	$1,394.34	$2,201.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.94 / $524.12 / $978.42	Facility		$371.94	$524.12	$978.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.08 / $629.51 / $1,513.00	Facility		$392.08	$629.51	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.85 / $1,007.39 / $3,518.40	Professional		$477.85	$1,007.39	$3,518.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $291.90 / $947.18	Professional		$52.59	$291.90	$947.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $377.55 / $524.12 / $978.42	Facility		$377.55	$524.12	$978.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $945.10 / $1,151.57 / $1,719.06	Professional		$945.10	$1,151.57	$1,719.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,041.28	Facility		$1,722.47	$1,722.47	$2,041.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $862.52 / $2,004.50 / $3,518.40	Professional		$862.52	$2,004.50	$3,518.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.73 / $1,375.73 / $1,512.17	Professional		$1,375.73	$1,375.73	$1,512.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,331.41 / $2,749.39 / $3,024.64	Professional		$1,331.41	$2,749.39	$3,024.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $3,648.00	Facility		$1,008.00	$1,423.00	$3,648.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.02 / $871.22 / $1,997.04	Professional		$476.02	$871.22	$1,997.04