Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.08 / $876.35 / $1,302.83	Facility		$701.08	$876.35	$1,302.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.86 / $555.02 / $888.03	Professional		$449.86	$555.02	$888.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.08 / $1,519.00 / $1,606.63	Facility		$1,256.08	$1,519.00	$1,606.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.69 / $233.69 / $2,502.38	Professional		$233.69	$233.69	$2,502.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,427.80 / $1,427.80 / $1,483.94	Facility		$1,427.80	$1,427.80	$1,483.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,607.60 / $1,878.61 / $2,881.83	Facility		$1,607.60	$1,878.61	$2,881.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.13 / $1,573.22 / $1,787.75	Professional		$671.13	$1,573.22	$1,787.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $449.86 / $701.08 / $2,044.81	Facility		$449.86	$701.08	$2,044.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.80 / $701.08 / $2,044.81	Facility		$525.80	$701.08	$2,044.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $350.54 / $1,801.68	Professional		$292.12	$350.54	$1,801.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $467.38	Professional		$50.00	$70.00	$467.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $449.86 / $701.08 / $2,044.81	Facility		$449.86	$701.08	$2,044.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,049.65 / $1,392.97 / $1,953.73	Professional		$1,049.65	$1,392.97	$1,953.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,168.46 / $2,775.09 / $2,775.09	Facility		$1,168.46	$2,775.09	$2,775.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $538.45 / $2,921.15 / $2,921.15	Professional		$538.45	$2,921.15	$2,921.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $584.23 / $1,244.14	Professional		$584.23	$584.23	$1,244.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $1,697.90 / $3,189.90	Professional		$584.23	$1,697.90	$3,189.90
United Facility/Professional Professional Modifier Low / Median / High Price $253.96 / $350.54 / $1,226.88	Professional		$253.96	$350.54	$1,226.88