Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.38 / $1,792.80 / $3,246.40	Facility		$243.38	$1,792.80	$3,246.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.26 / $48.68 / $188.67	Facility	53	$18.26	$48.68	$188.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $261.64 / $1,370.56	Professional		$92.31	$261.64	$1,370.56
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 $138.99 / $244.49 / $592.98	Professional		$138.99	$244.49	$592.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $112.04 / $140.16	Facility		$93.37	$112.04	$140.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.69 / $241.17 / $313.33	Professional		$229.69	$241.17	$313.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.17 / $818.20 / $1,255.15	Facility		$700.17	$818.20	$1,255.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $438.11 / $1,157.51	Professional		$182.00	$438.11	$1,157.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $231.21 / $476.57	Facility		$95.68	$231.21	$476.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $331.26 / $3,326.00	Facility		$106.83	$331.26	$3,326.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.19 / $502.22 / $1,920.52	Professional		$271.19	$502.22	$1,920.52
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 $95.68 / $231.21 / $476.57	Facility		$95.68	$231.21	$476.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.52 / $436.39 / $857.76	Professional		$226.52	$436.39	$857.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $469.58 / $469.58 / $763.85	Facility		$469.58	$469.58	$763.85
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $89.92 / $89.92 / $89.92	Facility	53	$89.92	$89.92	$89.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $232.43 / $970.67 / $1,921.76	Professional		$232.43	$970.67	$1,921.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.15 / $870.71 / $1,525.24	Professional		$402.15	$870.71	$1,525.24
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 $273.81 / $507.80 / $1,112.90	Professional		$273.81	$507.80	$1,112.90