Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.60 / $428.67 / $6,195.45	Facility		$104.60	$428.67	$6,195.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.30 / $137.07 / $381.99	Facility	52	$52.30	$137.07	$381.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.92 / $54.83 / $152.80	Facility	53	$20.92	$54.83	$152.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $209.25 / $1,101.05	Professional		$78.06	$209.25	$1,101.05
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 $156.12 / $359.08 / $1,086.11	Professional		$156.12	$359.08	$1,086.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $120.89 / $120.89	Facility		$79.28	$120.89	$120.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $380.26 / $427.99	Professional		$276.89	$380.26	$427.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.71 / $663.41 / $1,070.06	Facility		$567.71	$663.41	$1,070.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.05 / $381.05 / $752.25	Professional		$172.05	$381.05	$752.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $190.52 / $429.25	Facility		$82.57	$190.52	$429.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.08 / $421.11 / $4,514.00	Facility		$96.08	$421.11	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $735.36 / $1,374.00	Professional		$241.27	$735.36	$1,374.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $282.77 / $501.39	Professional		$70.00	$282.77	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $190.52 / $429.25	Facility		$82.57	$190.52	$429.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.73 / $404.30 / $706.34	Professional		$191.73	$404.30	$706.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $485.15 / $485.15 / $485.15	Facility		$485.15	$485.15	$485.15
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $301.54 / $301.54 / $301.54	Facility	52	$301.54	$301.54	$301.54
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $75.39 / $75.39 / $75.39	Facility	53	$75.39	$75.39	$75.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $900.00 / $1,989.58	Professional		$158.69	$900.00	$1,989.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $571.38 / $603.69 / $1,483.34	Professional		$571.38	$603.69	$1,483.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $735.36 / $997.51	Professional		$247.31	$735.36	$997.51