Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $150.32 / $14,482.00	Facility		$80.30	$150.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $99.64 / $767.56	Professional		$68.70	$99.64	$767.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $204.65 / $408.43	Professional		$73.34	$204.65	$408.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.42 / $109.31 / $109.31	Facility		$71.42	$109.31	$109.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $109.31 / $168.95	Professional		$70.73	$109.31	$168.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $220.08 / $354.99	Facility		$188.33	$220.08	$354.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $217.53 / $300.70	Professional		$110.23	$217.53	$300.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $91.18 / $784.87	Facility		$76.23	$91.18	$784.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.17 / $784.87 / $7,700.00	Facility		$80.17	$784.87	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $184.90 / $361.62	Professional		$88.23	$184.90	$361.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $102.54 / $163.35	Professional		$41.98	$102.54	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $91.18 / $784.87	Facility		$76.23	$91.18	$784.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $225.83 / $266.02	Professional		$146.25	$225.83	$266.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,217.50 / $4,217.50 / $4,217.50	Facility		$4,217.50	$4,217.50	$4,217.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $543.00 / $1,995.00	Professional		$113.44	$543.00	$1,995.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $183.64 / $183.64	Professional		$183.64	$183.64	$183.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $200.92 / $397.39 / $536.86	Professional		$200.92	$397.39	$536.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $222.73 / $324.13	Professional		$87.63	$222.73	$324.13