Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.63 / $712.67 / $3,119.00	Facility		$335.63	$712.67	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.63 / $385.67 / $1,491.00	Professional		$335.63	$385.67	$1,491.00
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 $357.29 / $774.52 / $2,050.46	Professional		$357.29	$774.52	$2,050.46
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 $1,015.56 / $1,186.76 / $1,820.53	Facility		$1,015.56	$1,186.76	$1,820.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.15 / $1,130.73 / $1,930.90	Professional		$485.15	$1,130.73	$1,930.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $439.30 / $796.95	Facility		$334.00	$439.30	$796.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.63 / $531.29 / $1,455.00	Facility		$335.63	$531.29	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $399.97 / $819.27 / $2,852.48	Professional		$399.97	$819.27	$2,852.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $239.97 / $768.27	Professional		$38.65	$239.97	$768.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $439.30 / $796.95	Facility		$334.00	$439.30	$796.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $762.60 / $931.39 / $1,390.38	Professional		$762.60	$931.39	$1,390.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,624.36 / $1,624.36 / $1,722.47	Facility		$1,624.36	$1,624.36	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $699.21 / $1,622.61 / $2,852.48	Professional		$699.21	$1,622.61	$2,852.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.81 / $1,099.81 / $1,229.55	Professional		$1,099.81	$1,099.81	$1,229.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.03 / $2,190.85 / $2,453.11	Professional		$1,062.03	$2,190.85	$2,453.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $389.42 / $728.18 / $1,624.12	Professional		$389.42	$728.18	$1,624.12