Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.81 / $424.91 / $1,894.00	Facility		$196.81	$424.91	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $236.32 / $960.46	Professional		$185.98	$236.32	$960.46
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 $220.37 / $393.61 / $1,139.16	Professional		$220.37	$393.61	$1,139.16
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 $651.51 / $761.34 / $1,167.92	Facility		$651.51	$761.34	$1,167.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.60 / $726.40 / $1,059.36	Professional		$259.60	$726.40	$1,059.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $271.19 / $508.48	Facility		$192.17	$271.19	$508.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.25 / $308.52 / $1,449.00	Facility		$196.25	$308.52	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $483.71 / $1,800.56	Professional		$213.40	$483.71	$1,800.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $152.28 / $482.31	Professional		$28.95	$152.28	$482.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $193.82 / $271.19 / $508.48	Facility		$193.82	$271.19	$508.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $448.20 / $591.62 / $848.29	Professional		$448.20	$591.62	$848.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $949.15	Facility		$264.92	$264.92	$949.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.37 / $1,031.72 / $1,800.56	Professional		$408.37	$1,031.72	$1,800.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $640.63 / $640.63 / $769.24	Professional		$640.63	$640.63	$769.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $505.89 / $1,301.86 / $1,559.77	Professional		$505.89	$1,301.86	$1,559.77
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 $216.58 / $439.06 / $1,002.55	Professional		$216.58	$439.06	$1,002.55