Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $947.00 / $3,281.89	Facility		$0.84	$947.00	$3,281.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $258.45 / $1,912.50	Professional		$157.72	$258.45	$1,912.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $473.55 / $1,263.46	Professional		$167.73	$473.55	$1,263.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $248.72 / $248.72	Facility		$163.44	$248.72	$248.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $248.72 / $384.44	Professional		$163.04	$248.72	$384.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.14 / $509.67 / $822.07	Facility		$436.14	$509.67	$822.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $654.90 / $744.20	Professional		$321.45	$654.90	$744.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.72 / $197.81 / $332.26	Facility		$157.72	$197.81	$332.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.99 / $1,209.00 / $2,090.40	Facility		$169.99	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.77 / $418.54 / $1,123.96	Professional		$202.77	$418.54	$1,123.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $248.22 / $402.72	Professional		$85.00	$248.22	$402.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.72 / $197.81 / $332.26	Facility		$157.72	$197.81	$332.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $518.91 / $746.34	Professional		$336.05	$518.91	$746.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $782.64 / $782.64 / $782.64	Facility		$782.64	$782.64	$782.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $329.01 / $835.15 / $1,270.88	Professional		$329.01	$835.15	$1,270.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $625.21 / $980.65 / $980.65	Professional		$625.21	$980.65	$980.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $571.66 / $844.10	Professional		$199.98	$571.66	$844.10