Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $2,310.14 / $5,430.24	Facility		$162.47	$2,310.14	$5,430.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $147.18 / $311.06	Professional		$77.17	$147.18	$311.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $306.12 / $945.03	Professional		$112.24	$306.12	$945.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $93.54 / $111.77	Facility		$74.45	$93.54	$111.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.34 / $213.38 / $380.91	Professional		$169.34	$213.38	$380.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.53 / $590.75 / $906.23	Facility		$505.53	$590.75	$906.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $306.39 / $780.91	Professional		$124.86	$306.39	$780.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $155.66 / $316.86	Facility		$77.17	$155.66	$316.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $172.68 / $2,586.00	Facility		$77.83	$172.68	$2,586.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $555.42 / $1,387.84	Professional		$174.93	$555.42	$1,387.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $261.98 / $419.13	Professional		$85.00	$261.98	$419.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $155.25 / $316.86	Facility		$74.94	$155.25	$316.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $354.26 / $635.94	Professional		$177.74	$354.26	$635.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $648.34 / $2,855.25	Facility		$133.93	$648.34	$2,855.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.43 / $706.57 / $1,387.84	Professional		$152.43	$706.57	$1,387.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $286.88 / $397.43 / $953.48	Professional		$286.88	$397.43	$953.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $375.61 / $860.61	Professional		$169.56	$375.61	$860.61