Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.11 / $390.44 / $1,340.10	Facility		$182.11	$390.44	$1,340.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $341.81 / $987.58	Professional		$182.11	$341.81	$987.58
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 $230.69 / $420.25 / $1,111.69	Professional		$230.69	$420.25	$1,111.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.36 / $334.36 / $334.36	Facility		$334.36	$334.36	$334.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $956.99 / $1,118.32 / $1,715.53	Facility		$956.99	$1,118.32	$1,715.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.76 / $753.91 / $1,635.11	Professional		$303.76	$753.91	$1,635.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.41 / $357.06 / $724.64	Facility		$187.41	$357.06	$724.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $399.92 / $1,449.00	Facility		$208.24	$399.92	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.43 / $703.24 / $2,657.84	Professional		$310.43	$703.24	$2,657.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.05 / $395.14 / $873.80	Professional		$209.05	$395.14	$873.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.41 / $354.08 / $724.64	Facility		$187.41	$354.08	$724.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $465.25 / $734.95 / $1,269.22	Professional		$465.25	$734.95	$1,269.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $292.86 / $923.41	Facility		$292.86	$292.86	$923.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $402.16 / $1,514.70 / $2,657.84	Professional		$402.16	$1,514.70	$2,657.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $596.29 / $596.29 / $1,102.90	Professional		$596.29	$596.29	$1,102.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $731.89 / $1,199.79 / $2,289.96	Professional		$731.89	$1,199.79	$2,289.96
United Facility/Professional Facility Modifier Low / Median / High Price $875.66 / $1,297.00 / $2,202.90	Facility		$875.66	$1,297.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $321.66 / $634.91 / $1,444.44	Professional		$321.66	$634.91	$1,444.44