Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $344.59 / $1,114.38	Facility		$161.16	$344.59	$1,114.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $285.04 / $870.45	Professional		$161.16	$285.04	$870.45
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 $204.17 / $371.92 / $982.55	Professional		$204.17	$371.92	$982.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $191.07 / $191.07	Facility		$191.07	$191.07	$191.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.79 / $928.77 / $1,424.76	Facility		$794.79	$928.77	$1,424.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.61 / $662.39 / $1,357.79	Professional		$268.61	$662.39	$1,357.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $285.04 / $604.28	Facility		$161.16	$285.04	$604.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.67 / $333.50 / $1,449.00	Facility		$165.67	$333.50	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $604.15 / $2,193.92	Professional		$289.08	$604.15	$2,193.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.61 / $304.67 / $710.73	Professional		$171.61	$304.67	$710.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.16 / $285.04 / $604.28	Facility		$161.16	$285.04	$604.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $392.03 / $629.84 / $1,030.89	Professional		$392.03	$629.84	$1,030.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $174.06 / $174.06 / $784.32	Facility		$174.06	$174.06	$784.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.72 / $1,233.92 / $2,193.92	Professional		$360.72	$1,233.92	$2,193.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $527.01 / $527.01 / $916.21	Professional		$527.01	$527.01	$916.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $643.04 / $1,054.14 / $1,901.49	Professional		$643.04	$1,054.14	$1,901.49
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 $286.08 / $540.20 / $1,221.72	Professional		$286.08	$540.20	$1,221.72