Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $532.70 / $1,894.00	Facility		$0.68	$532.70	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $335.05 / $1,212.80	Professional		$165.84	$335.05	$1,212.80
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 $264.49 / $570.23 / $1,175.68	Professional		$264.49	$570.23	$1,175.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.74 / $175.63 / $240.08	Facility		$173.74	$175.63	$240.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $306.92 / $372.95	Professional		$279.02	$306.92	$372.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.02 / $958.26 / $1,469.99	Facility		$820.02	$958.26	$1,469.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.14 / $488.28 / $898.24	Professional		$211.14	$488.28	$898.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $351.26 / $820.05	Facility		$187.00	$351.26	$820.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.63 / $526.54 / $1,513.00	Facility		$199.63	$526.54	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $289.81 / $610.42 / $1,701.04	Professional		$289.81	$610.42	$1,701.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $222.38 / $583.02	Professional		$29.98	$222.38	$583.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $351.26 / $820.05	Facility		$187.00	$351.26	$820.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.37 / $646.41 / $983.36	Professional		$416.37	$646.41	$983.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $370.58 / $495.28 / $1,339.20	Facility		$370.58	$495.28	$1,339.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.32 / $927.65 / $2,262.71	Professional		$320.32	$927.65	$2,262.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $356.57 / $815.55 / $1,314.44	Professional		$356.57	$815.55	$1,314.44
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 $95.00 / $477.67 / $1,160.83	Professional		$95.00	$477.67	$1,160.83