Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.32 / $543.79 / $3,153.71	Facility		$255.32	$543.79	$3,153.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.59 / $370.49 / $1,359.99	Professional		$242.59	$370.49	$1,359.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.45 / $589.20 / $1,558.27	Professional		$323.45	$589.20	$1,558.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.22 / $655.22 / $655.22	Facility		$655.22	$655.22	$655.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $1,173.08 / $1,799.53	Facility		$1,003.85	$1,173.08	$1,799.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.73 / $961.27 / $1,717.85	Professional		$409.73	$961.27	$1,717.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $260.92 / $411.15 / $773.59	Facility		$260.92	$411.15	$773.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.07 / $514.85 / $3,593.00	Facility		$264.07	$514.85	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.64 / $764.93 / $2,175.58	Professional		$380.64	$764.93	$2,175.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $218.92 / $710.78	Professional		$52.59	$218.92	$710.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $260.92 / $411.15 / $773.59	Facility		$260.92	$411.15	$773.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $610.20 / $867.60 / $1,270.34	Professional		$610.20	$867.60	$1,270.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $517.10 / $517.10 / $1,850.40	Facility		$517.10	$517.10	$1,850.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $529.66 / $1,591.34 / $2,777.20	Professional		$529.66	$1,591.34	$2,777.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $810.39 / $1,671.11 / $2,405.80	Professional		$810.39	$1,671.11	$2,405.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $675.97 / $1,541.63	Professional		$373.53	$675.97	$1,541.63