Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.49 / $896.87 / $1,333.34	Facility		$717.49	$896.87	$1,333.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $562.04 / $717.49	Professional		$358.74	$562.04	$717.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,285.51 / $1,554.57 / $1,644.25	Facility		$1,285.51	$1,554.57	$1,644.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $412.55 / $2,560.96	Professional		$239.16	$412.55	$2,560.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.21 / $1,461.24 / $1,518.69	Facility		$454.21	$1,461.24	$1,518.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,645.45 / $1,922.83 / $2,949.67	Facility		$1,645.45	$1,922.83	$2,949.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.82 / $1,610.05 / $1,829.60	Professional		$686.82	$1,610.05	$1,829.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $538.12 / $1,175.51	Facility		$358.74	$538.12	$1,175.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $562.04 / $2,840.07	Facility		$358.74	$562.04	$2,840.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.05 / $478.33 / $1,656.21	Professional		$301.05	$478.33	$1,656.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $597.91	Professional		$55.00	$85.00	$597.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $538.12 / $1,175.51	Facility		$358.74	$538.12	$1,175.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $997.92 / $1,425.36 / $1,999.17	Professional		$997.92	$1,425.36	$1,999.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.89 / $1,195.82 / $2,840.07	Facility		$316.89	$1,195.82	$2,840.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $2,989.55 / $2,989.55	Professional		$316.89	$2,989.55	$2,989.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $451.58 / $1,273.28	Professional		$451.58	$451.58	$1,273.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $2,214.06 / $3,264.59	Professional		$451.58	$2,214.06	$3,264.59
United Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Facility		$597.91	$597.91	$597.91
United Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $478.33 / $1,264.41	Professional		$298.95	$478.33	$1,264.41