Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.77 / $721.96 / $1,389.96	Facility		$446.77	$721.96	$1,389.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $304.33 / $498.78	Professional		$161.88	$304.33	$498.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.06 / $841.75 / $890.31	Facility		$696.06	$841.75	$890.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $129.50 / $1,295.00	Professional		$129.50	$129.50	$1,295.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.58 / $791.22 / $822.33	Facility		$221.58	$791.22	$822.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $323.75 / $323.75	Professional		$323.75	$323.75	$323.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.21 / $1,041.45 / $1,597.61	Facility		$891.21	$1,041.45	$1,597.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.11 / $871.79 / $990.68	Professional		$372.11	$871.79	$990.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $161.88 / $388.50	Facility		$161.88	$161.88	$388.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $291.38 / $1,537.81	Facility		$161.88	$291.38	$1,537.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $194.25 / $582.75	Professional		$104.64	$194.25	$582.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $139.22 / $893.55	Professional		$55.00	$139.22	$893.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $161.88 / $388.50	Facility		$161.88	$161.88	$388.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $351.15 / $772.07 / $1,082.88	Professional		$351.15	$772.07	$1,082.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $647.50 / $647.50 / $1,537.81	Facility		$647.50	$647.50	$1,537.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $171.59 / $171.59	Professional		$83.78	$171.59	$171.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $130.53 / $689.44	Professional		$130.53	$130.53	$689.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $601.60 / $1,767.68	Professional		$130.53	$601.60	$1,767.68
United Facility/Professional Facility Modifier Low / Median / High Price $388.50 / $388.50 / $388.50	Facility		$388.50	$388.50	$388.50
United Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $194.25 / $582.75	Professional		$104.64	$194.25	$582.75