Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.15 / $150.55 / $3,119.00	Facility		$58.15	$150.55	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $150.55 / $994.05	Professional		$58.15	$150.55	$994.05
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 $86.66 / $260.08 / $601.09	Professional		$86.66	$260.08	$601.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,554.79 / $1,554.79 / $1,554.79	Facility		$1,554.79	$1,554.79	$1,554.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.71 / $482.29 / $739.84	Facility		$412.71	$482.29	$739.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $267.45 / $702.34	Professional		$117.50	$267.45	$702.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $151.19 / $348.10	Facility		$59.67	$151.19	$348.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $199.08 / $4,292.39	Facility		$64.95	$199.08	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.35 / $594.38 / $1,320.85	Professional		$271.35	$594.38	$1,320.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $200.56 / $422.42	Professional		$95.17	$200.56	$422.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $156.69 / $348.10	Facility		$59.67	$156.69	$348.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $300.95 / $547.40	Professional		$138.05	$300.95	$547.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $417.54 / $417.54 / $1,350.75	Facility		$417.54	$417.54	$1,350.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.77 / $723.25 / $1,320.85	Professional		$199.77	$723.25	$1,320.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.48 / $623.53 / $983.59	Professional		$309.48	$623.53	$983.59
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 $240.27 / $539.37 / $1,209.90	Professional		$240.27	$539.37	$1,209.90