Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.71 / $1,045.80 / $2,536.30	Facility		$158.71	$1,045.80	$2,536.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $411.61 / $2,490.50	Professional		$163.33	$411.61	$2,490.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.41 / $618.44 / $1,541.24	Professional		$276.41	$618.44	$1,541.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $172.40 / $239.45	Facility		$171.88	$172.40	$239.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.80 / $417.78 / $505.99	Professional		$379.80	$417.78	$505.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.49 / $1,304.70 / $2,001.45	Facility		$1,116.49	$1,304.70	$2,001.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.01 / $477.00 / $1,140.08	Professional		$197.01	$477.00	$1,140.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.42 / $455.76 / $1,124.43	Facility		$186.42	$455.76	$1,124.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $517.20 / $1,590.00	Facility		$201.60	$517.20	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.70 / $772.14 / $2,049.35	Professional		$390.70	$772.14	$2,049.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.68 / $380.88 / $871.12	Professional		$231.68	$380.88	$871.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $186.42 / $455.76 / $1,124.43	Facility		$186.42	$455.76	$1,124.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $421.94 / $717.78 / $1,336.02	Professional		$421.94	$717.78	$1,336.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $363.76 / $486.17 / $855.32	Facility		$363.76	$486.17	$855.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.82 / $945.70 / $3,074.80	Professional		$239.82	$945.70	$3,074.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $437.07 / $800.41 / $1,788.03	Professional		$437.07	$800.41	$1,788.03
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 $353.95 / $622.27 / $1,490.77	Professional		$353.95	$622.27	$1,490.77