Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $442.91 / $1,894.00	Facility		$56.09	$442.91	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $217.29 / $814.94	Professional		$55.91	$217.29	$814.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $296.81 / $1,037.16	Professional		$91.68	$296.81	$1,037.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.54 / $697.11 / $1,069.38	Facility		$596.54	$697.11	$1,069.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.44 / $258.29 / $1,010.36	Professional		$101.44	$258.29	$1,010.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $132.00 / $448.02	Facility		$55.91	$132.00	$448.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $224.36 / $4,292.39	Facility		$56.09	$224.36	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.64 / $530.90 / $1,617.12	Professional		$267.64	$530.90	$1,617.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $198.60 / $474.86	Professional		$112.30	$198.60	$474.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $132.00 / $448.02	Facility		$55.91	$132.00	$448.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $236.61 / $717.24	Professional		$130.41	$236.61	$717.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $390.65 / $1,455.33	Facility		$390.65	$390.65	$1,455.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $814.11 / $1,617.12	Professional		$134.10	$814.11	$1,617.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $175.33 / $361.71 / $1,415.01	Professional		$175.33	$361.71	$1,415.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.12 / $479.59 / $1,052.46	Professional		$253.12	$479.59	$1,052.46