Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $479.75 / $1,894.00	Facility		$223.02	$479.75	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $236.61 / $958.80	Professional		$193.36	$236.61	$958.80
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 $221.54 / $514.66 / $1,353.16	Professional		$221.54	$514.66	$1,353.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $319.44 / $319.44	Facility		$319.44	$319.44	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.91 / $757.13 / $1,161.45	Facility		$647.91	$757.13	$1,161.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.02 / $682.80 / $1,224.48	Professional		$291.02	$682.80	$1,224.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $219.80 / $289.86 / $520.99	Facility		$219.80	$289.86	$520.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.80 / $336.72 / $1,449.00	Facility		$219.80	$336.72	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.86 / $507.81 / $1,799.76	Professional		$239.86	$507.81	$1,799.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $180.36 / $482.31	Professional		$31.53	$180.36	$482.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $219.80 / $288.77 / $520.99	Facility		$219.80	$288.77	$520.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $484.25 / $595.09 / $880.81	Professional		$484.25	$595.09	$880.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $1,082.83	Facility		$264.92	$264.92	$1,082.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $443.60 / $1,046.34 / $1,799.76	Professional		$443.60	$1,046.34	$1,799.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $696.29 / $1,468.89 / $1,555.62	Professional		$696.29	$1,468.89	$1,555.62
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 $238.19 / $442.06 / $1,006.69	Professional		$238.19	$442.06	$1,006.69