Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $554.46 / $9,335.04	Facility		$126.76	$554.46	$9,335.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $205.61 / $884.00	Professional		$123.89	$205.61	$884.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.26 / $438.10 / $903.30	Professional		$220.26	$438.10	$903.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.27 / $138.66 / $196.52	Facility		$138.27	$138.66	$196.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.01 / $232.11 / $290.01	Professional		$211.01	$232.11	$290.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.66 / $717.11 / $1,100.07	Facility		$613.66	$717.11	$1,100.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.45 / $327.73 / $631.74	Professional		$171.45	$327.73	$631.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.02 / $288.00 / $637.74	Facility		$152.02	$288.00	$637.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $413.52 / $1,565.18	Facility		$165.92	$413.52	$1,565.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.97 / $439.22 / $1,134.08	Professional		$227.97	$439.22	$1,134.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $223.19 / $513.85	Professional		$136.66	$223.19	$513.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $152.02 / $288.00 / $637.74	Facility		$152.02	$288.00	$637.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $340.19 / $508.20 / $754.01	Professional		$340.19	$508.20	$754.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $389.92 / $1,069.85	Facility		$291.75	$389.92	$1,069.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.91 / $742.80 / $1,725.76	Professional		$192.91	$742.80	$1,725.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $336.79 / $643.85 / $993.35	Professional		$336.79	$643.85	$993.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,495.00 / $2,202.90	Facility		$1,008.00	$1,495.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $215.26 / $395.30 / $876.58	Professional		$215.26	$395.30	$876.58