Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.64 / $763.31 / $1,134.78	Facility		$610.64	$763.31	$1,134.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.83 / $508.87 / $681.00	Professional		$391.83	$508.87	$681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,094.07 / $1,323.06 / $1,399.39	Facility		$1,094.07	$1,323.06	$1,399.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $508.87 / $2,179.60	Professional		$203.55	$508.87	$2,179.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $755.80 / $1,292.53	Facility		$508.87	$755.80	$1,292.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $534.30 / $657.89	Professional		$508.87	$534.30	$657.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,400.34 / $1,636.41 / $2,510.29	Facility		$1,400.34	$1,636.41	$2,510.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.80 / $1,370.28 / $1,557.14	Professional		$584.80	$1,370.28	$1,557.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $391.83 / $610.64 / $1,781.05	Facility		$391.83	$610.64	$1,781.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.98 / $610.64 / $1,781.05	Facility		$457.98	$610.64	$1,781.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.87 / $407.10 / $1,569.28	Professional		$273.87	$407.10	$1,569.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $508.87	Professional		$50.00	$70.00	$508.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $391.83 / $610.64 / $1,781.05	Facility		$391.83	$610.64	$1,781.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $972.67 / $1,240.78 / $1,701.67	Professional		$972.67	$1,240.78	$1,701.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,017.74 / $2,417.13 / $2,417.13	Facility		$1,017.74	$2,417.13	$2,417.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.02 / $2,544.35 / $2,544.35	Professional		$472.02	$2,544.35	$2,544.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $384.32 / $384.32 / $1,083.66	Professional		$384.32	$384.32	$1,083.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $384.32 / $384.32 / $2,778.43	Professional		$384.32	$384.32	$2,778.43
United Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $508.87 / $508.87	Facility		$508.87	$508.87	$508.87
United Facility/Professional Professional Modifier Low / Median / High Price $228.99 / $305.32 / $947.21	Professional		$228.99	$305.32	$947.21