Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.75 / $385.94 / $1,216.63	Facility		$180.75	$385.94	$1,216.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $311.66 / $977.97	Professional		$180.75	$311.66	$977.97
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 $228.98 / $417.13 / $1,104.09	Professional		$228.98	$417.13	$1,104.09
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 $866.88 / $1,013.01 / $1,553.99	Facility		$866.88	$1,013.01	$1,553.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $743.22 / $1,482.15	Professional		$301.02	$743.22	$1,482.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.75 / $311.66 / $660.72	Facility		$180.75	$311.66	$660.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $368.79 / $1,449.00	Facility		$190.26	$368.79	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $651.89 / $2,396.80	Professional		$303.39	$651.89	$2,396.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.31 / $362.05 / $790.07	Professional		$190.31	$362.05	$790.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.75 / $311.66 / $660.72	Facility		$180.75	$311.66	$660.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $439.32 / $691.69 / $1,126.45	Professional		$439.32	$691.69	$1,126.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $292.86 / $880.48	Facility		$292.86	$292.86	$880.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $387.89 / $1,373.00 / $2,396.80	Professional		$387.89	$1,373.00	$2,396.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $592.22 / $592.22 / $1,003.75	Professional		$592.22	$592.22	$1,003.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $721.52 / $1,182.83 / $2,075.69	Professional		$721.52	$1,182.83	$2,075.69
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 $303.39 / $570.90 / $1,314.02	Professional		$303.39	$570.90	$1,314.02