Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.60 / $404.75 / $1,894.00	Facility		$186.60	$404.75	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $193.22 / $847.83	Professional		$178.07	$193.22	$847.83
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 $176.70 / $432.83 / $1,151.84	Professional		$176.70	$432.83	$1,151.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.85 / $296.85 / $296.85	Facility		$296.85	$296.85	$296.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.34 / $603.39 / $925.61	Facility		$516.34	$603.39	$925.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $574.78 / $900.29	Professional		$239.90	$574.78	$900.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $182.67 / $230.26 / $411.01	Facility		$182.67	$230.26	$411.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.67 / $279.89 / $1,449.00	Facility		$182.67	$279.89	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $407.10 / $1,446.72	Professional		$192.00	$407.10	$1,446.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $153.19 / $414.04	Professional		$31.53	$153.19	$414.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $186.45 / $226.00 / $411.01	Facility		$186.45	$226.00	$411.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $394.55 / $485.72 / $713.26	Professional		$394.55	$485.72	$713.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $243.92 / $243.92 / $1,611.47	Facility		$243.92	$243.92	$1,611.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.54 / $886.85 / $1,463.92	Professional		$359.54	$886.85	$1,463.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $583.95 / $1,245.64 / $1,260.79	Professional		$583.95	$1,245.64	$1,260.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $354.74 / $796.11	Professional		$192.00	$354.74	$796.11