Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.95 / $4,667.22 / $13,838.64	Facility		$371.95	$4,667.22	$13,838.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.18 / $494.39 / $2,482.00	Professional		$276.18	$494.39	$2,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.61 / $663.46 / $1,705.81	Professional		$279.61	$663.46	$1,705.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $347.31 / $414.10	Facility		$276.52	$347.31	$414.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $350.60 / $639.95	Professional		$276.52	$350.60	$639.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.75 / $897.18 / $1,376.30	Facility		$767.75	$897.18	$1,376.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.92 / $937.88 / $1,210.80	Professional		$341.92	$937.88	$1,210.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $391.45 / $693.00	Facility		$284.76	$391.45	$693.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $454.45 / $7,318.00	Facility		$284.76	$454.45	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.63 / $657.37 / $2,630.26	Professional		$299.63	$657.37	$2,630.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $379.81 / $670.21	Professional		$122.81	$379.81	$670.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $381.20 / $693.00	Facility		$284.76	$381.20	$693.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $533.40 / $711.38 / $1,224.91	Professional		$533.40	$711.38	$1,224.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.64 / $16,547.20 / $16,547.20	Facility		$331.64	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $410.13 / $1,388.85 / $2,630.26	Professional		$410.13	$1,388.85	$2,630.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.04 / $1,059.04 / $1,059.04	Professional		$1,059.04	$1,059.04	$1,059.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $943.93 / $1,478.35 / $1,478.35	Professional		$943.93	$1,478.35	$1,478.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $633.32 / $1,268.02	Professional		$298.10	$633.32	$1,268.02