Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $347.83 / $6,461.00	Facility		$160.22	$347.83	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $216.14 / $706.81	Professional		$144.77	$216.14	$706.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.63 / $438.35 / $1,159.08	Professional		$205.63	$438.35	$1,159.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.16 / $722.38 / $1,108.15	Facility		$618.16	$722.38	$1,108.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.50 / $604.54 / $1,063.16	Professional		$268.50	$604.54	$1,063.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $237.40 / $481.56	Facility		$160.22	$237.40	$481.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $274.74 / $8,602.00	Facility		$160.22	$274.74	$8,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $476.47 / $1,725.44	Professional		$224.25	$476.47	$1,725.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $214.64 / $501.39	Professional		$115.39	$214.64	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $231.89 / $481.56	Facility		$160.22	$231.89	$481.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $382.32 / $546.08 / $795.93	Professional		$382.32	$546.08	$795.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,182.90 / $1,182.90 / $3,244.77	Facility		$1,182.90	$1,182.90	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.70 / $984.87 / $1,725.44	Professional		$349.70	$984.87	$1,725.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $514.03 / $1,066.38 / $1,488.95	Professional		$514.03	$1,066.38	$1,488.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $410.38 / $909.66	Professional		$219.42	$410.38	$909.66