Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.45 / $715.06 / $7,722.01	Facility		$298.45	$715.06	$7,722.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.67 / $281.10 / $1,054.00	Professional		$180.67	$281.10	$1,054.00
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 $222.29 / $556.04 / $1,527.60	Professional		$222.29	$556.04	$1,527.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.78 / $229.49 / $273.62	Facility		$181.78	$229.49	$273.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $330.64 / $594.40	Professional		$262.23	$330.64	$594.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.55 / $888.76 / $1,363.38	Facility		$760.55	$888.76	$1,363.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $601.29 / $1,178.08	Professional		$258.24	$601.29	$1,178.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $268.35 / $526.86	Facility		$177.74	$268.35	$526.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.50 / $292.58 / $2,247.00	Facility		$178.50	$292.58	$2,247.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $927.01 / $2,102.64	Professional		$258.00	$927.01	$2,102.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $219.47 / $583.02	Professional		$32.22	$219.47	$583.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $264.18 / $526.86	Facility		$175.00	$264.18	$526.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $657.96 / $978.89	Professional		$429.56	$657.96	$978.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $325.50 / $1,358.76 / $3,930.50	Facility		$325.50	$1,358.76	$3,930.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $348.95 / $1,205.19 / $2,102.64	Professional		$348.95	$1,205.19	$2,102.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $672.93 / $971.33 / $1,438.44	Professional		$672.93	$971.33	$1,438.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $2,695.00 / $4,155.00	Facility		$1,957.00	$2,695.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $459.47 / $1,437.22	Professional		$90.00	$459.47	$1,437.22