Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $726.25 / $8,112.18	Facility		$136.94	$726.25	$8,112.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $149.47 / $549.60	Professional		$132.75	$149.47	$549.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $287.94 / $851.54	Professional		$139.34	$287.94	$851.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.80 / $164.16 / $209.49	Facility		$136.80	$164.16	$209.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $134.63 / $186.72	Professional		$127.19	$134.63	$186.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.74 / $418.05 / $641.29	Facility		$357.74	$418.05	$641.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.76 / $555.41 / $631.16	Professional		$201.76	$555.41	$631.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $188.53 / $302.64	Facility		$136.94	$188.53	$302.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $286.18 / $1,778.00	Facility		$136.94	$286.18	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $282.30 / $1,902.24	Professional		$158.63	$282.30	$1,902.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $181.94 / $411.00	Professional		$87.43	$181.94	$411.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $188.53 / $302.64	Facility		$136.94	$188.53	$302.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $342.94 / $511.94	Professional		$281.27	$342.94	$511.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $655.48 / $655.48 / $655.48	Facility		$655.48	$655.48	$655.48
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $65.55 / $65.55 / $65.55	Facility	AS	$65.55	$65.55	$65.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.07 / $693.65 / $1,902.24	Professional		$252.07	$693.65	$1,902.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.91 / $704.87 / $883.93	Professional		$397.91	$704.87	$883.93
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 $155.96 / $284.02 / $635.38	Professional		$155.96	$284.02	$635.38