Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $306.86 / $3,119.00	Facility		$144.61	$306.86	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $206.98 / $498.08	Professional		$137.32	$206.98	$498.08
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 $199.68 / $419.26 / $1,110.84	Professional		$199.68	$419.26	$1,110.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.32 / $368.32 / $368.32	Facility		$368.32	$368.32	$368.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.83 / $683.42 / $1,048.38	Facility		$584.83	$683.42	$1,048.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.04 / $537.45 / $1,002.10	Professional		$240.04	$537.45	$1,002.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.87 / $220.74 / $449.69	Facility		$138.87	$220.74	$449.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.16 / $261.12 / $3,034.00	Facility		$140.16	$261.12	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.62 / $497.00 / $1,659.96	Professional		$217.62	$497.00	$1,659.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $220.47 / $443.01	Professional		$102.76	$220.47	$443.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.87 / $220.74 / $449.69	Facility		$138.87	$220.74	$449.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.93 / $500.33 / $737.48	Professional		$343.93	$500.33	$737.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $290.44 / $290.44 / $697.64	Facility		$290.44	$290.44	$697.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.27 / $928.31 / $1,659.96	Professional		$310.27	$928.31	$1,659.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $457.28 / $946.11 / $1,403.39	Professional		$457.28	$946.11	$1,403.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.90 / $2,910.00 / $4,295.00	Facility		$1,283.90	$2,910.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.62 / $438.06 / $926.74	Professional		$217.62	$438.06	$926.74