Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.90 / $766.01 / $1,894.00	Facility		$358.90	$766.01	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.95 / $390.03 / $1,632.32	Professional		$355.95	$390.03	$1,632.32
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 $367.84 / $828.22 / $2,090.98	Professional		$367.84	$828.22	$2,090.98
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 $1,059.72 / $1,238.35 / $1,899.68	Facility		$1,059.72	$1,238.35	$1,899.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.11 / $1,143.33 / $1,825.74	Professional		$462.11	$1,143.33	$1,825.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $307.83 / $443.09 / $827.64	Facility		$307.83	$443.09	$827.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.87 / $538.35 / $1,449.00	Facility		$333.87	$538.35	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.96 / $849.04 / $2,971.20	Professional		$400.96	$849.04	$2,971.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $255.82 / $821.10	Professional		$52.59	$255.82	$821.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $313.95 / $443.09 / $827.64	Facility		$313.95	$443.09	$827.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $798.20 / $972.58 / $1,394.52	Professional		$798.20	$972.58	$1,394.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $1,718.17	Facility		$264.92	$264.92	$1,718.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $729.13 / $1,707.45 / $2,971.20	Professional		$729.13	$1,707.45	$2,971.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.90 / $1,175.90 / $1,278.78	Professional		$1,175.90	$1,175.90	$1,278.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.92 / $2,353.17 / $2,556.91	Professional		$1,126.92	$2,353.17	$2,556.91
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 $381.35 / $717.64 / $1,651.77	Professional		$381.35	$717.64	$1,651.77