Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.79 / $748.50 / $1,112.77	Facility		$598.79	$748.50	$1,112.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $474.05 / $758.48	Professional		$384.23	$474.05	$758.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,072.84 / $1,297.40 / $1,372.25	Facility		$1,072.84	$1,297.40	$1,372.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $499.00 / $2,137.32	Professional		$199.60	$499.00	$2,137.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.51 / $1,219.51 / $1,267.46	Facility		$1,219.51	$1,219.51	$1,267.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,373.31 / $1,604.82 / $2,461.83	Facility		$1,373.31	$1,604.82	$2,461.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.66 / $1,343.71 / $1,526.94	Professional		$573.66	$1,343.71	$1,526.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $384.23 / $598.79 / $1,746.50	Facility		$384.23	$598.79	$1,746.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $449.10 / $598.79 / $1,746.50	Facility		$449.10	$598.79	$1,746.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $299.39 / $1,538.84	Professional		$249.50	$299.39	$1,538.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $499.00	Professional		$50.00	$70.00	$499.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $384.23 / $598.79 / $1,746.50	Facility		$384.23	$598.79	$1,746.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $948.72 / $1,217.11 / $1,669.22	Professional		$948.72	$1,217.11	$1,669.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,120.21 / $3,120.21 / $3,120.21	Facility		$3,120.21	$3,120.21	$3,120.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $723.55 / $2,495.00 / $2,495.00	Professional		$723.55	$2,495.00	$2,495.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.64 / $1,062.64 / $1,062.64	Professional		$1,062.64	$1,062.64	$1,062.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.20 / $2,724.54 / $2,724.54	Professional		$1,450.20	$2,724.54	$2,724.54
United Facility/Professional Facility Modifier Low / Median / High Price $399.20 / $399.20 / $1,082.83	Facility		$399.20	$399.20	$1,082.83
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $299.39 / $928.84	Professional		$209.58	$299.39	$928.84