Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.88 / $1,840.99 / $2,913.30	Facility		$246.88	$1,840.99	$2,913.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $251.83 / $1,207.00	Professional		$99.93	$251.83	$1,207.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $247.48 / $637.30	Professional		$152.05	$247.48	$637.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $121.10 / $151.43	Facility		$100.92	$121.10	$151.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.81 / $245.50 / $319.33	Professional		$233.81	$245.50	$319.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.88 / $831.89 / $1,276.15	Facility		$711.88	$831.89	$1,276.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.09 / $474.10 / $1,177.04	Professional		$196.09	$474.10	$1,177.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.10 / $239.28 / $482.64	Facility		$103.10	$239.28	$482.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.95 / $298.36 / $3,026.00	Facility		$109.95	$298.36	$3,026.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $508.29 / $1,943.74	Professional		$276.89	$508.29	$1,943.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $268.54 / $596.71	Professional		$151.05	$268.54	$596.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.10 / $239.28 / $482.64	Facility		$103.10	$239.28	$482.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.83 / $472.93 / $872.38	Professional		$244.83	$472.93	$872.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $485.92 / $485.92 / $763.85	Facility		$485.92	$485.92	$763.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.53 / $987.51 / $1,955.60	Professional		$251.53	$987.51	$1,955.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $396.80 / $885.33 / $1,550.96	Professional		$396.80	$885.33	$1,550.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $452.67 / $1,104.08	Professional		$239.28	$452.67	$1,104.08