Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.82 / $632.12 / $9,669.70	Facility		$184.82	$632.12	$9,669.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $282.02 / $1,530.83	Professional		$184.82	$282.02	$1,530.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.49 / $593.72 / $1,267.84	Professional		$300.49	$593.72	$1,267.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.07 / $202.01 / $287.08	Facility		$201.07	$202.01	$287.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.94 / $309.02 / $389.70	Professional		$280.94	$309.02	$389.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $811.01 / $947.73 / $1,453.84	Facility		$811.01	$947.73	$1,453.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.33 / $455.68 / $839.36	Professional		$249.33	$455.68	$839.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $221.72 / $383.08 / $859.32	Facility		$221.72	$383.08	$859.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.28 / $602.54 / $3,995.00	Facility		$241.28	$602.54	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.86 / $596.40 / $1,658.32	Professional		$309.86	$596.40	$1,658.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $328.86 / $758.14	Professional		$196.66	$328.86	$758.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $221.72 / $383.08 / $859.32	Facility		$221.72	$383.08	$859.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $497.84 / $714.39 / $1,007.16	Professional		$497.84	$714.39	$1,007.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $424.26 / $567.02 / $1,827.35	Facility		$424.26	$567.02	$1,827.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.24 / $1,088.70 / $2,304.08	Professional		$281.24	$1,088.70	$2,304.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $497.01 / $938.65 / $1,320.09	Professional		$497.01	$938.65	$1,320.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $488.65 / $1,244.75	Professional		$292.89	$488.65	$1,244.75