Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $356.31 / $1,135.27	Facility		$166.47	$356.31	$1,135.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $290.35 / $901.68	Professional		$166.47	$290.35	$901.68
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 $210.89 / $384.17 / $1,016.42	Professional		$210.89	$384.17	$1,016.42
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 $809.21 / $945.62 / $1,450.61	Facility		$809.21	$945.62	$1,450.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $685.73 / $1,382.76	Professional		$277.95	$685.73	$1,382.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $292.64 / $615.54	Facility		$167.00	$292.64	$615.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.93 / $339.73 / $1,449.00	Facility		$175.93	$339.73	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.87 / $606.83 / $2,235.44	Professional		$258.87	$606.83	$2,235.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.61 / $302.43 / $670.82	Professional		$171.61	$302.43	$670.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $171.05 / $292.64 / $615.54	Facility		$171.05	$292.64	$615.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $406.52 / $642.66 / $1,052.25	Professional		$406.52	$642.66	$1,052.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $292.86 / $812.20	Facility		$292.86	$292.86	$812.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.18 / $1,277.83 / $2,235.44	Professional		$349.18	$1,277.83	$2,235.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $545.19 / $545.19 / $934.35	Professional		$545.19	$545.19	$934.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $625.44 / $1,091.28 / $1,936.48	Professional		$625.44	$1,091.28	$1,936.48
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 $278.39 / $599.19 / $1,221.77	Professional		$278.39	$599.19	$1,221.77