Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $333.88 / $3,119.00	Facility		$158.11	$333.88	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.11 / $300.91 / $822.50	Professional		$158.11	$300.91	$822.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $364.88 / $964.31	Professional		$200.30	$364.88	$964.31
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 $819.12 / $957.20 / $1,468.38	Facility		$819.12	$957.20	$1,468.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.56 / $650.07 / $1,394.85	Professional		$273.56	$650.07	$1,394.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $302.75 / $621.41	Facility		$158.11	$302.75	$621.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.16 / $333.88 / $4,292.39	Facility		$163.16	$333.88	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.25 / $642.82 / $2,246.56	Professional		$313.25	$642.82	$2,246.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $230.32 / $597.93	Professional		$31.53	$230.32	$597.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $302.75 / $621.41	Facility		$158.11	$302.75	$621.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $376.77 / $624.99 / $1,012.90	Professional		$376.77	$624.99	$1,012.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $766.04 / $766.04 / $1,455.33	Facility		$766.04	$766.04	$1,455.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.03 / $1,232.00 / $2,246.56	Professional		$354.03	$1,232.00	$2,246.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $510.65 / $1,034.56 / $1,953.49	Professional		$510.65	$1,034.56	$1,953.49
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 $285.56 / $554.62 / $1,274.32	Professional		$285.56	$554.62	$1,274.32