Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.93 / $521.12 / $1,894.00	Facility		$200.93	$521.12	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $306.39 / $841.50	Professional		$125.49	$306.39	$841.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $496.07 / $859.40	Professional		$210.10	$496.07	$859.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.61 / $265.39 / $265.39	Facility		$170.61	$265.39	$265.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $371.63 / $574.41	Professional		$243.15	$371.63	$574.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $672.24 / $785.56 / $1,267.08	Facility		$672.24	$785.56	$1,267.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $537.21 / $864.33	Professional		$294.00	$537.21	$864.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.29 / $264.99 / $406.82	Facility		$168.29	$264.99	$406.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $328.93 / $6,235.00	Facility		$169.94	$328.93	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $546.37 / $1,285.52	Professional		$217.00	$546.37	$1,285.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $295.35 / $620.24	Professional		$85.00	$295.35	$620.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $152.99 / $264.99 / $406.82	Facility		$152.99	$264.99	$406.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.81 / $566.66 / $838.59	Professional		$408.81	$566.66	$838.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $811.42 / $811.42 / $811.42	Facility		$811.42	$811.42	$811.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.33 / $1,081.76 / $1,923.92	Professional		$298.33	$1,081.76	$1,923.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.48 / $525.48 / $801.69	Professional		$309.48	$525.48	$801.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.27 / $448.84 / $842.52	Professional		$229.27	$448.84	$842.52