Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.18 / $509.94 / $3,488.50	Facility		$239.18	$509.94	$3,488.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $374.44 / $1,439.47	Professional		$233.25	$374.44	$1,439.47
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 $302.99 / $551.96 / $1,471.30	Professional		$302.99	$551.96	$1,471.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.69 / $732.69 / $732.69	Facility		$732.69	$732.69	$732.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.36 / $1,188.86 / $1,823.76	Facility		$1,017.36	$1,188.86	$1,823.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $924.00 / $1,743.79	Professional		$412.43	$924.00	$1,743.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $233.92 / $375.38 / $778.79	Facility		$233.92	$375.38	$778.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.92 / $480.79 / $6,669.00	Facility		$233.92	$480.79	$6,669.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.10 / $853.61 / $2,815.04	Professional		$413.10	$853.61	$2,815.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $218.92 / $704.88	Professional		$52.59	$218.92	$704.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $233.92 / $375.38 / $778.79	Facility		$233.92	$375.38	$778.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $561.35 / $844.06 / $1,261.34	Professional		$561.35	$844.06	$1,261.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $492.50 / $492.50 / $1,149.28	Facility		$492.50	$492.50	$1,149.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $516.57 / $1,615.37 / $2,815.04	Professional		$516.57	$1,615.37	$2,815.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $759.92 / $1,575.19 / $2,442.11	Professional		$759.92	$1,575.19	$2,442.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $763.39 / $1,726.18	Professional		$400.59	$763.39	$1,726.18