Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $1,449.74 / $8,651.27	Facility		$171.35	$1,449.74	$8,651.27
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $276.45 / $276.45 / $276.45	Facility	50	$276.45	$276.45	$276.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $171.35 / $731.25	Professional		$68.87	$171.35	$731.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $330.17 / $780.40	Professional		$122.13	$330.17	$780.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $120.96 / $120.96	Facility		$80.34	$120.96	$120.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $229.70 / $355.04	Professional		$163.11	$229.70	$355.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.68 / $546.52 / $881.52	Facility		$467.68	$546.52	$881.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.49 / $299.18 / $620.26	Professional		$160.49	$299.18	$620.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.52 / $167.51 / $340.54	Facility		$84.52	$167.51	$340.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $279.83 / $5,261.00	Facility		$95.48	$279.83	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $389.19 / $1,100.00	Professional		$145.43	$389.19	$1,100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $182.56 / $374.37	Professional		$85.00	$182.56	$374.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $158.38 / $340.54	Facility		$81.61	$158.38	$340.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.64 / $334.75 / $578.96	Professional		$194.64	$334.75	$578.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $594.72 / $594.72 / $594.72	Facility		$594.72	$594.72	$594.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $742.10 / $1,293.59	Professional		$163.85	$742.10	$1,293.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $321.57 / $466.25 / $966.70	Professional		$321.57	$466.25	$966.70
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 $141.72 / $370.90 / $531.12	Professional		$141.72	$370.90	$531.12