Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $275.18 / $1,894.00	Facility		$132.88	$275.18	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $175.41 / $681.57	Professional		$132.88	$175.41	$681.57
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 $167.11 / $306.67 / $847.97	Professional		$167.11	$306.67	$847.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $541.26 / $830.30	Facility		$463.18	$541.26	$830.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $511.36 / $798.61	Professional		$214.02	$511.36	$798.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.07 / $196.66 / $360.83	Facility		$133.07	$196.66	$360.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.12 / $230.18 / $4,292.39	Facility		$136.12	$230.18	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $384.80 / $1,295.44	Professional		$189.86	$384.80	$1,295.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $179.87 / $370.26	Professional		$83.97	$179.87	$370.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.07 / $196.66 / $360.83	Facility		$133.07	$196.66	$360.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $294.93 / $411.50 / $587.96	Professional		$294.93	$411.50	$587.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $622.12 / $622.12 / $1,722.47	Facility		$622.12	$622.12	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $739.80 / $1,295.44	Professional		$279.95	$739.80	$1,295.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $433.11 / $433.11 / $571.80	Professional		$433.11	$433.11	$571.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $483.17 / $849.70 / $1,118.46	Professional		$483.17	$849.70	$1,118.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $346.86 / $780.71	Professional		$179.67	$346.86	$780.71