Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $558.95 / $11,572.79	Facility		$127.44	$558.95	$11,572.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.77 / $248.53 / $1,001.06	Professional		$131.77	$248.53	$1,001.06
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 $213.31 / $448.01 / $994.16	Professional		$213.31	$448.01	$994.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $139.38 / $190.85	Facility		$137.94	$139.38	$190.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.99 / $263.99 / $320.14	Professional		$239.99	$263.99	$320.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.08 / $829.79 / $1,272.92	Facility		$710.08	$829.79	$1,272.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $389.52 / $729.57	Professional		$166.81	$389.52	$729.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $149.10 / $301.62 / $704.61	Facility		$149.10	$301.62	$704.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $411.15 / $1,590.00	Facility		$150.10	$411.15	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $461.65 / $1,127.11	Professional		$225.90	$461.65	$1,127.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $190.84 / $509.29	Professional		$29.98	$190.84	$509.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $149.10 / $301.62 / $704.61	Facility		$149.10	$301.62	$704.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $333.40 / $513.76 / $845.97	Professional		$333.40	$513.76	$845.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $294.11 / $393.08 / $1,065.59	Facility		$294.11	$393.08	$1,065.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $735.60 / $1,954.56	Professional		$258.45	$735.60	$1,954.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $279.47 / $647.73 / $1,136.45	Professional		$279.47	$647.73	$1,136.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $392.25 / $913.46	Professional		$218.74	$392.25	$913.46