Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $133.54 / $1,894.00	Facility		$63.13	$133.54	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $85.56 / $343.92	Professional		$60.79	$85.56	$343.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $167.82 / $455.07	Professional		$80.02	$167.82	$455.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.12 / $120.12 / $120.12	Facility		$120.12	$120.12	$120.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $268.52 / $411.92	Facility		$229.79	$268.52	$411.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $224.52 / $396.25	Professional		$97.77	$224.52	$396.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $96.11 / $180.20	Facility		$64.45	$96.11	$180.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $128.34 / $1,449.00	Facility		$67.04	$128.34	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $177.80 / $524.84	Professional		$91.53	$177.80	$524.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $85.00 / $168.67	Professional		$41.03	$85.00	$168.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $96.11 / $180.20	Facility		$64.45	$96.11	$180.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $205.17 / $299.04	Professional		$145.58	$205.17	$299.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $98.36 / $98.36 / $301.25	Facility		$98.36	$98.36	$301.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $367.07 / $646.88	Professional		$133.05	$367.07	$646.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $230.01 / $409.77 / $554.94	Professional		$230.01	$409.77	$554.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $175.76 / $368.50	Professional		$90.84	$175.76	$368.50