Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.89 / $842.15 / $3,119.00	Facility		$394.89	$842.15	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.92 / $438.08 / $1,760.44	Professional		$389.92	$438.08	$1,760.44
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 $403.04 / $911.29 / $2,353.52	Professional		$403.04	$911.29	$2,353.52
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 $1,191.28 / $1,392.11 / $2,135.53	Facility		$1,191.28	$1,392.11	$2,135.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.36 / $1,322.99 / $2,038.81	Professional		$510.36	$1,322.99	$2,038.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.13 / $497.06 / $928.89	Facility		$344.13	$497.06	$928.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.02 / $592.34 / $1,513.00	Facility		$368.02	$592.34	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $438.51 / $928.64 / $3,336.56	Professional		$438.51	$928.64	$3,336.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $275.77 / $882.06	Professional		$52.59	$275.77	$882.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $352.31 / $497.06 / $928.89	Facility		$352.31	$497.06	$928.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $871.97 / $1,089.79 / $1,626.84	Professional		$871.97	$1,089.79	$1,626.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $1,921.00	Facility		$1,722.47	$1,722.47	$1,921.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.48 / $1,899.63 / $3,336.56	Professional		$812.48	$1,899.63	$3,336.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.39 / $1,262.39 / $1,395.46	Professional		$1,262.39	$1,262.39	$1,395.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.78 / $2,590.17 / $2,871.87	Professional		$1,217.78	$2,590.17	$2,871.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,455.00 / $2,202.90	Facility		$1,008.00	$1,455.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $436.68 / $792.88 / $1,840.93	Professional		$436.68	$792.88	$1,840.93