Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $260.69 / $1,894.00	Facility		$87.50	$260.69	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $122.33 / $460.45	Professional		$87.50	$122.33	$460.45
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 $106.05 / $240.06 / $627.10	Professional		$106.05	$240.06	$627.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.79 / $166.79 / $166.79	Facility		$166.79	$166.79	$166.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.51 / $388.57 / $596.07	Facility		$332.51	$388.57	$596.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $329.51 / $544.48	Professional		$150.66	$329.51	$544.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.98 / $139.03 / $259.87	Facility		$85.98	$139.03	$259.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $173.79 / $4,292.39	Facility		$87.50	$173.79	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $301.76 / $1,443.28	Professional		$123.82	$301.76	$1,443.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $116.31 / $255.89	Professional		$58.91	$116.31	$255.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $139.03 / $259.87	Facility		$87.50	$139.03	$259.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $292.32 / $416.04	Professional		$204.66	$292.32	$416.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $156.18 / $156.18 / $421.12	Facility		$156.18	$156.18	$421.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.30 / $528.89 / $1,443.28	Professional		$188.30	$528.89	$1,443.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $275.69 / $574.16 / $799.56	Professional		$275.69	$574.16	$799.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $232.52 / $507.10	Professional		$121.79	$232.52	$507.10