Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.22 / $962.78 / $1,431.33	Facility		$770.22	$962.78	$1,431.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $545.57 / $770.22	Professional		$287.83	$545.57	$770.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,379.98 / $1,668.81 / $1,765.09	Facility		$1,379.98	$1,668.81	$1,765.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $287.11 / $2,567.40	Professional		$256.74	$287.11	$2,567.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $953.32 / $1,630.30	Facility		$641.85	$953.32	$1,630.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $673.94 / $829.79	Professional		$641.85	$673.94	$829.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,766.20 / $2,063.94 / $3,166.14	Facility		$1,766.20	$2,063.94	$3,166.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.62 / $1,728.38 / $1,964.06	Professional		$737.62	$1,728.38	$1,964.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $494.22 / $770.22 / $2,246.48	Facility		$494.22	$770.22	$2,246.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.66 / $770.22 / $2,246.48	Facility		$577.66	$770.22	$2,246.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $385.11 / $1,979.37	Professional		$172.27	$385.11	$1,979.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $320.93	Professional		$50.00	$70.00	$320.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $494.22 / $770.22 / $2,246.48	Facility		$494.22	$770.22	$2,246.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.65 / $1,530.26 / $2,146.29	Professional		$549.65	$1,530.26	$2,146.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,283.70 / $3,048.79 / $3,048.79	Facility		$1,283.70	$3,048.79	$3,048.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $930.68 / $3,209.25 / $3,209.25	Professional		$930.68	$3,209.25	$3,209.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $217.06 / $1,366.85	Professional		$217.06	$217.06	$1,366.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $217.06 / $3,504.50	Professional		$217.06	$217.06	$3,504.50
United Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $385.11 / $994.87	Professional		$172.70	$385.11	$994.87