Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.18 / $947.00 / $3,390.40	Facility		$279.18	$947.00	$3,390.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.72 / $282.55 / $1,171.00	Professional		$195.72	$282.55	$1,171.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $530.26 / $1,326.07	Professional		$212.94	$530.26	$1,326.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.51 / $269.18 / $269.18	Facility		$177.51	$269.18	$269.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.16 / $425.95 / $479.41	Professional		$310.16	$425.95	$479.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.30 / $667.62 / $1,076.84	Facility		$571.30	$667.62	$1,076.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.26 / $570.03 / $907.68	Professional		$348.26	$570.03	$907.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $185.33 / $289.14 / $427.46	Facility		$185.33	$289.14	$427.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $440.49 / $5,639.00	Facility		$202.18	$440.49	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.25 / $742.25 / $1,381.44	Professional		$267.25	$742.25	$1,381.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $270.86 / $532.70	Professional		$105.13	$270.86	$532.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $185.33 / $289.14 / $427.46	Facility		$185.33	$289.14	$427.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $430.95 / $578.66 / $783.86	Professional		$430.95	$578.66	$783.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $872.72 / $872.72 / $872.72	Facility		$872.72	$872.72	$872.72
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $85.53 / $85.53 / $85.53	Facility	AS	$85.53	$85.53	$85.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.77 / $921.20 / $2,196.12	Professional		$354.77	$921.20	$2,196.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $943.20 / $1,277.34 / $1,518.33	Professional		$943.20	$1,277.34	$1,518.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $741.44 / $1,088.48	Professional		$258.61	$741.44	$1,088.48