Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.24 / $1,822.98 / $6,494.50	Facility		$395.24	$1,822.98	$6,494.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $377.40 / $1,224.64	Professional		$188.59	$377.40	$1,224.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.33 / $761.99 / $2,531.46	Professional		$261.33	$761.99	$2,531.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.60 / $228.35 / $275.64	Facility		$182.60	$228.35	$275.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.08 / $552.23 / $986.54	Professional		$438.08	$552.23	$986.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.95 / $1,555.33 / $2,385.91	Facility		$1,330.95	$1,555.33	$2,385.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $780.08 / $2,055.85	Professional		$305.95	$780.08	$2,055.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $195.04 / $467.18 / $878.43	Facility		$195.04	$467.18	$878.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.64 / $498.41 / $3,242.00	Facility		$196.64	$498.41	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.41 / $1,462.25 / $3,654.56	Professional		$297.41	$1,462.25	$3,654.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $654.16 / $1,105.93	Professional		$85.00	$654.16	$1,105.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $196.64 / $469.70 / $916.65	Facility		$196.64	$469.70	$916.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $433.14 / $897.29 / $1,643.21	Professional		$433.14	$897.29	$1,643.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $1,355.04 / $4,901.45	Facility		$329.07	$1,355.04	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.51 / $1,859.11 / $3,654.56	Professional		$371.51	$1,859.11	$3,654.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.76 / $968.60 / $2,510.17	Professional		$724.76	$968.60	$2,510.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,242.00 / $6,438.00	Facility		$2,883.00	$3,242.00	$6,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.73 / $919.89 / $2,094.85	Professional		$298.73	$919.89	$2,094.85