Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $320.99 / $1,894.00	Facility		$153.35	$320.99	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.51 / $253.22 / $823.89	Professional		$147.51	$253.22	$823.89
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 $194.26 / $353.88 / $993.17	Professional		$194.26	$353.88	$993.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.29 / $838.21 / $1,285.83	Facility		$717.29	$838.21	$1,285.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $620.73 / $1,227.46	Professional		$253.36	$620.73	$1,227.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $266.18 / $547.20	Facility		$153.35	$266.18	$547.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $312.13 / $4,292.39	Facility		$153.35	$312.13	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.67 / $577.87 / $1,981.84	Professional		$270.67	$577.87	$1,981.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $207.91 / $551.40	Professional		$31.53	$207.91	$551.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $266.18 / $547.20	Facility		$153.35	$266.18	$547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.23 / $571.67 / $892.61	Professional		$359.23	$571.67	$892.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,100.52 / $1,100.52 / $1,455.33	Facility		$1,100.52	$1,100.52	$1,455.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.66 / $1,137.06 / $1,981.84	Professional		$331.66	$1,137.06	$1,981.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.34 / $995.21 / $1,719.04	Professional		$478.34	$995.21	$1,719.04
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 $249.22 / $460.14 / $1,119.45	Professional		$249.22	$460.14	$1,119.45