Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.04 / $345.95 / $1,232.43	Facility		$139.04	$345.95	$1,232.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $285.88 / $739.09	Professional		$137.34	$285.88	$739.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.14 / $320.87 / $853.33	Professional		$176.14	$320.87	$853.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.44 / $250.44 / $250.44	Facility		$250.44	$250.44	$250.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.36 / $1,093.05 / $1,676.76	Facility		$935.36	$1,093.05	$1,676.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $629.72 / $1,545.62	Professional		$252.12	$629.72	$1,545.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $294.76 / $698.81	Facility		$129.96	$294.76	$698.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $340.99 / $1,449.00	Facility		$129.96	$340.99	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $657.09 / $2,545.28	Professional		$307.33	$657.09	$2,545.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $238.62 / $700.97	Professional		$28.95	$238.62	$700.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $294.76 / $698.81	Facility		$129.96	$294.76	$698.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $328.72 / $616.87 / $1,128.70	Professional		$328.72	$616.87	$1,128.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $219.39 / $219.39 / $670.76	Facility		$219.39	$219.39	$670.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.08 / $1,300.99 / $2,545.28	Professional		$311.08	$1,300.99	$2,545.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $435.76 / $909.11 / $2,222.46	Professional		$435.76	$909.11	$2,222.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $566.55 / $1,328.78	Professional		$307.33	$566.55	$1,328.78