Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $224.26 / $1,894.00	Facility		$60.26	$224.26	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $179.24 / $674.00	Professional		$71.09	$179.24	$674.00
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 $105.37 / $212.88 / $494.94	Professional		$105.37	$212.88	$494.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $65.14 / $93.15	Facility		$64.69	$65.14	$93.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $109.64 / $138.11	Professional		$99.67	$109.64	$138.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.26 / $338.02 / $518.54	Facility		$289.26	$338.02	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $181.68 / $321.43	Professional		$106.44	$181.68	$321.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.58 / $133.21 / $306.89	Facility		$71.58	$133.21	$306.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $203.23 / $1,756.00	Facility		$77.63	$203.23	$1,756.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $33.00 / $33.00 / $33.00	Facility	AS	$33.00	$33.00	$33.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $240.91 / $605.23	Professional		$126.84	$240.91	$605.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $221.50	Professional		$58.91	$95.42	$221.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.58 / $133.21 / $306.89	Facility		$71.58	$133.21	$306.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $247.56 / $372.11	Professional		$162.80	$247.56	$372.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $182.43 / $330.03	Facility		$136.50	$182.43	$330.03
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $13.65 / $18.23 / $33.00	Facility	AS	$13.65	$18.23	$33.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $359.05 / $820.00	Professional		$129.41	$359.05	$820.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $206.58 / $302.12 / $470.34	Professional		$206.58	$302.12	$470.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $226.02 / $490.36	Professional		$121.26	$226.02	$490.36