Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $489.42 / $1,894.00	Facility		$227.81	$489.42	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $878.79	Professional		$213.80	$257.04	$878.79
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 $250.47 / $525.70 / $1,384.88	Professional		$250.47	$525.70	$1,384.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $319.44 / $319.44	Facility		$319.44	$319.44	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.88 / $831.89 / $1,276.15	Facility		$711.88	$831.89	$1,276.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.23 / $831.68 / $1,227.65	Professional		$362.23	$831.68	$1,227.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $316.85 / $556.97	Facility		$227.81	$316.85	$556.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $366.82 / $1,449.00	Facility		$232.98	$366.82	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.23 / $572.84 / $1,993.52	Professional		$283.23	$572.84	$1,993.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $186.31 / $526.34	Professional		$62.75	$186.31	$526.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $310.54 / $556.97	Facility		$227.81	$310.54	$556.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $504.63 / $642.30 / $920.97	Professional		$504.63	$642.30	$920.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $1,108.28	Facility		$264.92	$264.92	$1,108.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $474.05 / $1,137.24 / $1,993.52	Professional		$474.05	$1,137.24	$1,993.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $729.34 / $1,511.22 / $1,719.32	Professional		$729.34	$1,511.22	$1,719.32
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 $279.27 / $534.40 / $1,143.08	Professional		$279.27	$534.40	$1,143.08