Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.10 / $480.83 / $3,119.00	Facility		$229.10	$480.83	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.10 / $304.76 / $1,038.31	Professional		$229.10	$304.76	$1,038.31
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 $281.43 / $528.69 / $1,335.64	Professional		$281.43	$528.69	$1,335.64
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 $819.12 / $957.20 / $1,468.38	Facility		$819.12	$957.20	$1,468.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.29 / $902.53 / $1,425.31	Professional		$374.29	$902.53	$1,425.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.19 / $368.64 / $673.52	Facility		$232.19	$368.64	$673.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.14 / $457.14 / $1,449.00	Facility		$252.14	$457.14	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.63 / $662.30 / $3,929.37	Professional		$333.63	$662.30	$3,929.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $360.59 / $729.44	Professional		$178.24	$360.59	$729.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $236.88 / $358.94 / $673.52	Facility		$236.88	$358.94	$673.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $533.29 / $748.16 / $1,090.47	Professional		$533.29	$748.16	$1,090.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $1,105.08	Facility		$264.92	$264.92	$1,105.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.58 / $1,320.35 / $3,929.37	Professional		$487.58	$1,320.35	$3,929.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $751.13 / $751.13 / $983.72	Professional		$751.13	$751.13	$983.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $956.71 / $1,486.80 / $1,996.10	Professional		$956.71	$1,486.80	$1,996.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $588.66 / $1,327.42	Professional		$317.58	$588.66	$1,327.42