Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.91 / $199.55 / $3,119.00	Facility		$94.91	$199.55	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $174.93 / $576.13	Professional		$94.91	$174.93	$576.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $276.20 / $722.30	Professional		$141.44	$276.20	$722.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.39 / $498.39 / $498.39	Facility		$498.39	$498.39	$498.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.77 / $534.94 / $820.61	Facility		$457.77	$534.94	$820.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $386.57 / $790.55	Professional		$180.09	$386.57	$790.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.91 / $193.76 / $376.98	Facility		$94.91	$193.76	$376.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.69 / $235.67 / $4,292.39	Facility		$95.69	$235.67	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $631.29 / $1,887.63	Professional		$290.88	$631.29	$1,887.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $226.01 / $414.04	Professional		$96.65	$226.01	$414.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.91 / $193.76 / $376.98	Facility		$94.91	$193.76	$376.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $371.21 / $601.79	Professional		$219.66	$371.21	$601.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.75 / $194.75 / $569.39	Facility		$194.75	$194.75	$569.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.76 / $841.00 / $1,887.63	Professional		$243.76	$841.00	$1,887.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $297.38 / $710.85 / $1,107.18	Professional		$297.38	$710.85	$1,107.18
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 $256.14 / $561.10 / $1,251.48	Professional		$256.14	$561.10	$1,251.48