Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.34 / $947.00 / $26,902.23	Facility		$176.34	$947.00	$26,902.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $782.15 / $5,031.52	Professional		$176.34	$782.15	$5,031.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.15 / $445.78 / $934.38	Professional		$210.15	$445.78	$934.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.87 / $191.85 / $273.81	Facility		$190.87	$191.85	$273.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.87 / $209.96 / $273.81	Professional		$190.87	$209.96	$273.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.97 / $628.66 / $964.38	Facility		$537.97	$628.66	$964.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $409.24 / $606.79	Professional		$217.16	$409.24	$606.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.87 / $294.20 / $617.42	Facility		$190.87	$294.20	$617.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.32 / $608.82 / $2,090.40	Facility		$206.32	$608.82	$2,090.40
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $778.71 / $778.71 / $778.71	Facility	52	$778.71	$778.71	$778.71
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $97.34 / $97.34 / $97.34	Facility	AS	$97.34	$97.34	$97.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.69 / $387.21 / $915.72	Professional		$218.69	$387.21	$915.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $237.64 / $531.71	Professional		$137.55	$237.64	$531.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $190.87 / $294.20 / $617.42	Facility		$190.87	$294.20	$617.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.80 / $514.53 / $730.19	Professional		$385.80	$514.53	$730.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $390.10 / $973.39 / $973.39	Facility		$390.10	$973.39	$973.39
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $312.08 / $778.71 / $778.71	Facility	52	$312.08	$778.71	$778.71
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $39.01 / $97.34 / $97.34	Facility	AS	$39.01	$97.34	$97.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.86 / $877.73 / $1,569.76	Professional		$241.86	$877.73	$1,569.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $400.69 / $752.30 / $887.93	Professional		$400.69	$752.30	$887.93
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 $210.51 / $338.51 / $867.14	Professional		$210.51	$338.51	$867.14