Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.85 / $895.32 / $5,861.62	Facility		$282.85	$895.32	$5,861.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.35 / $430.17 / $1,329.89	Professional		$279.35	$430.17	$1,329.89
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 $358.32 / $652.74 / $1,654.00	Professional		$358.32	$652.74	$1,654.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.36 / $779.36 / $779.36	Facility		$779.36	$779.36	$779.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,160.64 / $1,356.30 / $2,080.60	Facility		$1,160.64	$1,356.30	$2,080.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.63 / $1,118.44 / $1,994.89	Professional		$493.63	$1,118.44	$1,994.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $282.85 / $445.76 / $895.32	Facility		$282.85	$445.76	$895.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.27 / $558.54 / $6,669.00	Facility		$289.27	$558.54	$6,669.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.45 / $965.07 / $3,226.16	Professional		$458.45	$965.07	$3,226.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $219.68 / $790.03	Professional		$31.53	$219.68	$790.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $282.85 / $445.76 / $895.32	Facility		$282.85	$445.76	$895.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $665.75 / $986.93 / $1,454.71	Professional		$665.75	$986.93	$1,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $541.66 / $541.66 / $1,354.04	Facility		$541.66	$541.66	$1,354.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $607.74 / $1,847.97 / $3,226.16	Professional		$607.74	$1,847.97	$3,226.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $897.26 / $1,853.21 / $2,793.79	Professional		$897.26	$1,853.21	$2,793.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.29 / $861.74 / $1,951.59	Professional		$453.29	$861.74	$1,951.59