Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $2,543.06 / $14,482.00	Facility		$191.30	$2,543.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $464.78 / $921.72	Professional		$93.93	$464.78	$921.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,046.00 / $5,962.00	Facility		$1,905.00	$3,046.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $651.50 / $2,496.98	Professional		$116.28	$651.50	$2,496.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $109.34 / $144.79	Facility		$87.47	$109.34	$144.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $613.98 / $767.48 / $942.74	Professional		$613.98	$767.48	$942.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,828.37 / $2,136.60 / $3,277.60	Facility		$1,828.37	$2,136.60	$3,277.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $447.86 / $2,387.19	Professional		$133.94	$447.86	$2,387.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $285.74 / $928.46	Facility		$101.04	$285.74	$928.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.88 / $587.39 / $3,242.00	Facility		$101.88	$587.39	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $618.04 / $1,591.05 / $4,916.00	Professional		$618.04	$1,591.05	$4,916.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $390.36 / $663.91 / $1,516.86	Professional		$390.36	$663.91	$1,516.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $285.74 / $959.60	Facility		$101.04	$285.74	$959.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $737.74 / $2,305.73	Professional		$199.44	$737.74	$2,305.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $419.33 / $4,989.20	Facility		$158.18	$419.33	$4,989.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $2,462.26 / $4,916.00	Professional		$179.36	$2,462.26	$4,916.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $453.35 / $645.79 / $4,707.37	Professional		$453.35	$645.79	$4,707.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $3,583.00 / $5,471.00	Facility		$2,960.00	$3,583.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $597.38 / $1,052.02 / $2,813.24	Professional		$597.38	$1,052.02	$2,813.24