Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $272.27 / $14,482.00	Facility		$130.56	$272.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.71 / $560.00	Professional		$107.15	$134.71	$560.00
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 $118.90 / $283.98 / $807.23	Professional		$118.90	$283.98	$807.23
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 $349.63 / $408.58 / $626.77	Facility		$349.63	$408.58	$626.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $531.91 / $604.45	Professional		$189.02	$531.91	$604.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $166.46 / $288.54	Facility		$130.56	$166.46	$288.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $267.48 / $1,778.00	Facility		$130.56	$267.48	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $236.80 / $987.68	Professional		$134.27	$236.80	$987.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $131.32 / $300.25	Professional		$77.91	$131.32	$300.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $166.46 / $288.54	Facility		$130.56	$166.46	$288.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $319.18 / $466.31	Professional		$261.95	$319.18	$466.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $731.30	Facility		$264.92	$264.92	$731.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.39 / $610.29 / $987.68	Professional		$241.39	$610.29	$987.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.77 / $846.52 / $846.52	Professional		$323.77	$846.52	$846.52
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 $132.81 / $239.50 / $555.37	Professional		$132.81	$239.50	$555.37