Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $438.29 / $3,119.00	Facility		$143.88	$438.29	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $211.96 / $777.61	Professional		$130.12	$211.96	$777.61
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 $177.58 / $421.42 / $1,067.04	Professional		$177.58	$421.42	$1,067.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.78 / $169.29 / $169.29	Facility		$112.78	$169.29	$169.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $264.64 / $409.06	Professional		$185.71	$264.64	$409.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.86 / $619.17 / $998.72	Facility		$529.86	$619.17	$998.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $415.23 / $696.31	Professional		$196.28	$415.23	$696.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $230.25 / $592.71	Facility		$138.74	$230.25	$592.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.90 / $308.98 / $1,778.00	Facility		$139.90	$308.98	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.60 / $636.79 / $1,619.00	Professional		$222.60	$636.79	$1,619.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $288.34 / $501.39	Professional		$85.00	$288.34	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $230.25 / $592.71	Facility		$138.74	$230.25	$592.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $449.58 / $696.37	Professional		$275.33	$449.58	$696.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $978.46 / $978.46 / $978.46	Facility		$978.46	$978.46	$978.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $841.64 / $1,793.11	Professional		$166.17	$841.64	$1,793.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $324.95 / $713.12 / $1,195.81	Professional		$324.95	$713.12	$1,195.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $616.87 / $825.07	Professional		$216.60	$616.87	$825.07