Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $944.51 / $14,482.00	Facility		$443.31	$944.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.99 / $460.30 / $2,023.85	Professional		$421.99	$460.30	$2,023.85
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 $422.52 / $1,023.03 / $2,584.52	Professional		$422.52	$1,023.03	$2,584.52
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 $1,199.39 / $1,401.58 / $2,150.06	Facility		$1,199.39	$1,401.58	$2,150.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.17 / $1,825.44 / $2,074.36	Professional		$595.17	$1,825.44	$2,074.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $560.63 / $979.72	Facility		$443.31	$560.63	$979.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $902.53 / $1,789.00	Facility		$443.31	$902.53	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.93 / $846.49 / $3,389.04	Professional		$456.93	$846.49	$3,389.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $273.32 / $879.76	Professional		$61.81	$273.32	$879.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $560.63 / $979.72	Facility		$443.31	$560.63	$979.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $1,109.58 / $1,656.40	Professional		$910.65	$1,109.58	$1,656.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $828.41 / $2,117.00 / $3,389.04	Professional		$828.41	$2,117.00	$3,389.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.43 / $1,453.43 / $1,453.43	Professional		$1,453.43	$1,453.43	$1,453.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.27 / $2,217.44 / $2,905.07	Professional		$1,267.27	$2,217.44	$2,905.07
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 $453.17 / $846.49 / $1,925.39	Professional		$453.17	$846.49	$1,925.39