Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.50 / $723.81 / $2,235.12	Facility		$389.50	$723.81	$2,235.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $305.11 / $389.50	Professional		$194.75	$305.11	$389.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.85 / $843.91 / $892.60	Facility		$697.85	$843.91	$892.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $324.58 / $1,390.25	Professional		$129.83	$324.58	$1,390.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.25 / $793.25 / $824.43	Facility		$793.25	$793.25	$824.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $893.01 / $1,043.55 / $1,600.84	Facility		$893.01	$1,043.55	$1,600.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $874.03 / $993.21	Professional		$372.94	$874.03	$993.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $249.93 / $389.50 / $1,136.03	Facility		$249.93	$389.50	$1,136.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.12 / $389.50 / $1,136.03	Facility		$292.12	$389.50	$1,136.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $194.75 / $1,000.96	Professional		$162.29	$194.75	$1,000.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $324.58	Professional		$50.00	$70.00	$324.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $249.93 / $389.50 / $1,136.03	Facility		$249.93	$389.50	$1,136.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $791.17 / $1,085.05	Professional		$617.41	$791.17	$1,085.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $649.16 / $1,541.76 / $1,541.76	Facility		$649.16	$1,541.76	$1,541.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.62 / $1,622.90 / $1,622.90	Professional		$299.62	$1,622.90	$1,622.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $691.21	Professional		$324.58	$324.58	$691.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $1,772.21	Professional		$324.58	$324.58	$1,772.21
United Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $194.75 / $604.16	Professional		$141.09	$194.75	$604.16