Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $446.54 / $5,417.81	Facility		$92.40	$446.54	$5,417.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $219.23 / $843.46	Professional		$94.04	$219.23	$843.46
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 $137.71 / $246.34 / $660.12	Professional		$137.71	$246.34	$660.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.02 / $681.31 / $1,045.15	Facility		$583.02	$681.31	$1,045.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.49 / $409.02 / $995.74	Professional		$169.49	$409.02	$995.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $217.28 / $460.63	Facility		$94.35	$217.28	$460.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.31 / $254.22 / $4,377.80	Facility		$103.31	$254.22	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $496.14 / $1,658.00	Professional		$262.27	$496.14	$1,658.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $258.38 / $551.40	Professional		$134.13	$258.38	$551.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $217.28 / $460.63	Facility		$94.35	$217.28	$460.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.13 / $421.85 / $729.61	Professional		$218.13	$421.85	$729.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $665.76 / $665.76 / $2,865.24	Facility		$665.76	$665.76	$2,865.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.01 / $860.90 / $1,658.00	Professional		$205.01	$860.90	$1,658.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $554.67 / $663.92 / $1,394.47	Professional		$554.67	$663.92	$1,394.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,827.00 / $6,564.00	Facility		$2,781.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $446.53 / $1,114.60	Professional		$250.17	$446.53	$1,114.60