Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.07 / $357.35 / $1,894.00	Facility		$142.07	$357.35	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $349.03 / $770.31	Professional		$138.65	$349.03	$770.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $364.84 / $926.51	Professional		$176.23	$364.84	$926.51
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 $965.10 / $1,127.80 / $1,730.07	Facility		$965.10	$1,127.80	$1,730.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $643.09 / $1,637.84	Professional		$259.27	$643.09	$1,637.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.63 / $313.04 / $730.53	Facility		$133.63	$313.04	$730.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.63 / $357.35 / $4,292.39	Facility		$133.63	$357.35	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.97 / $858.31 / $2,792.57	Professional		$414.97	$858.31	$2,792.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $238.62 / $700.97	Professional		$28.95	$238.62	$700.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.63 / $313.04 / $730.53	Facility		$133.63	$313.04	$730.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $337.11 / $576.00 / $1,179.29	Professional		$337.11	$576.00	$1,179.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $683.92 / $683.92 / $1,455.33	Facility		$683.92	$683.92	$1,455.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.17 / $1,339.89 / $2,792.57	Professional		$344.17	$1,339.89	$2,792.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $448.09 / $928.40 / $2,293.76	Professional		$448.09	$928.40	$2,293.76
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 $380.40 / $711.02 / $1,627.08	Professional		$380.40	$711.02	$1,627.08