Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.87 / $442.98 / $14,482.00	Facility		$206.87	$442.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.58 / $238.71 / $1,096.00	Professional		$197.58	$238.71	$1,096.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.06 / $440.96 / $1,270.05	Professional		$230.06	$440.96	$1,270.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.50 / $345.50 / $345.50	Facility		$345.50	$345.50	$345.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.59 / $739.23 / $1,133.99	Facility		$632.59	$739.23	$1,133.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.06 / $700.64 / $1,092.51	Professional		$346.06	$700.64	$1,092.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.02 / $288.29 / $493.22	Facility		$202.02	$288.29	$493.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.87 / $333.41 / $6,955.00	Facility		$206.87	$333.41	$6,955.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.78 / $542.36 / $2,363.21	Professional		$251.78	$542.36	$2,363.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $159.30 / $492.26	Professional		$56.50	$159.30	$492.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $202.02 / $286.13 / $493.22	Facility		$202.02	$286.13	$493.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $458.61 / $565.49 / $835.06	Professional		$458.61	$565.49	$835.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $260.54 / $260.54 / $993.04	Facility		$260.54	$260.54	$993.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $433.34 / $1,022.55 / $2,363.21	Professional		$433.34	$1,022.55	$2,363.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.14 / $1,363.14 / $1,530.03	Professional		$660.14	$1,363.14	$1,530.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,495.00 / $9,134.00	Facility		$4,103.00	$7,495.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.46 / $472.02 / $1,039.58	Professional		$235.46	$472.02	$1,039.58