Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.64 / $1,894.00 / $14,482.00	Facility		$119.64	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $158.88 / $539.20	Professional		$117.84	$158.88	$539.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,749.00 / $5,749.00 / $6,159.00	Facility		$5,749.00	$5,749.00	$6,159.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $276.08 / $738.53	Professional		$120.81	$276.08	$738.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $141.04 / $177.72	Facility		$117.53	$141.04	$177.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $117.15 / $159.96	Professional		$111.57	$117.15	$159.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.69 / $365.40 / $560.54	Facility		$312.69	$365.40	$560.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $496.79 / $605.05	Professional		$175.03	$496.79	$605.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $119.64 / $178.59 / $324.47	Facility		$119.64	$178.59	$324.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.57 / $262.08 / $11,100.00	Facility		$122.57	$262.08	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $245.24 / $1,634.59	Professional		$134.88	$245.24	$1,634.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $119.64 / $178.59 / $324.47	Facility		$119.64	$178.59	$324.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $298.58 / $428.12	Professional		$235.29	$298.58	$428.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $219.90 / $598.60 / $1,634.59	Professional		$219.90	$598.60	$1,634.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.21 / $604.10 / $604.39	Professional		$524.21	$604.10	$604.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $245.24 / $544.73	Professional		$131.86	$245.24	$544.73