Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $953.34 / $1,350.63	Facility		$200.00	$953.34	$1,350.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.22 / $854.95 / $3,074.00	Professional		$581.22	$854.95	$3,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $1,370.65 / $3,933.65	Professional		$615.05	$1,370.65	$3,933.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $641.79 / $855.74	Facility		$611.24	$641.79	$855.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $846.48 / $846.48 / $846.48	Professional		$846.48	$846.48	$846.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,681.49 / $1,964.95 / $3,014.29	Facility		$1,681.49	$1,964.95	$3,014.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.97 / $2,842.62 / $3,230.25	Professional		$824.97	$2,842.62	$3,230.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $611.17 / $946.16 / $1,268.47	Facility		$611.17	$946.16	$1,268.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.28 / $946.16 / $1,268.47	Facility		$600.28	$946.16	$1,268.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.91 / $1,501.73 / $11,983.88	Professional		$719.91	$1,501.73	$11,983.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.48 / $687.78 / $1,357.00	Professional		$392.48	$687.78	$1,357.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $611.17 / $946.16 / $1,268.47	Facility		$611.17	$946.16	$1,268.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,264.90 / $1,535.00 / $2,703.64	Professional		$1,264.90	$1,535.00	$2,703.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,023.52 / $6,023.52 / $6,023.52	Facility		$6,023.52	$6,023.52	$6,023.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,063.23 / $3,157.15 / $11,983.88	Professional		$1,063.23	$3,157.15	$11,983.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.08 / $3,903.31 / $3,903.31	Professional		$2,114.08	$3,903.31	$3,903.31
United Facility/Professional Professional Modifier Low / Median / High Price $690.15 / $1,430.90 / $2,978.46	Professional		$690.15	$1,430.90	$2,978.46