Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,380.38	Facility		$446.68	$691.83	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $851.14	Professional		$162.18	$263.03	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $891.25	Facility		$691.83	$870.96	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,096.48	Professional		$128.82	$128.82	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $812.83 / $831.76	Facility		$223.87	$812.83	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Facility		$891.25	$1,047.13	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,000.00	Professional		$371.54	$467.74	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $630.96 / $1,023.29	Facility		$162.18	$630.96	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $302.00 / $933.25	Facility		$162.18	$302.00	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $501.19	Professional		$104.71	$194.98	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $323.59	Professional		$54.95	$85.11	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $758.58 / $1,071.52	Professional		$354.81	$758.58	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,548.82	Facility		$645.65	$645.65	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $169.82	Professional		$83.18	$83.18	$169.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $691.83	Professional		$131.83	$131.83	$691.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $501.19 / $1,778.28	Professional		$131.83	$501.19	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $389.05	Facility		$162.18	$257.04	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $588.84	Professional		$104.71	$194.98	$588.84