Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.60 / $726.53 / $1,389.96	Facility		$449.60	$726.53	$1,389.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $306.25 / $453.45	Professional		$162.90	$306.25	$453.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.47 / $847.08 / $895.95	Facility		$700.47	$847.08	$895.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $130.32 / $1,303.20	Professional		$130.32	$130.32	$1,303.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.37 / $796.22 / $827.53	Facility		$219.37	$796.22	$827.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $325.80 / $325.80	Professional		$325.80	$325.80	$325.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.61 / $1,047.76 / $1,607.30	Facility		$896.61	$1,047.76	$1,607.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.18 / $877.32 / $996.95	Professional		$374.18	$877.32	$996.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $162.90 / $390.96	Facility		$162.90	$162.90	$390.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $293.22 / $1,547.55	Facility		$162.90	$293.22	$1,547.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $195.48 / $586.44	Professional		$95.13	$195.48	$586.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $126.58 / $488.70	Professional		$55.00	$126.58	$488.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $162.90 / $390.96	Facility		$162.90	$162.90	$390.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $776.70 / $1,089.36	Professional		$318.98	$776.70	$1,089.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $651.60 / $651.60 / $1,547.55	Facility		$651.60	$651.60	$1,547.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $172.67 / $172.67	Professional		$76.09	$172.67	$172.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $118.67 / $693.81	Professional		$118.67	$118.67	$693.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $118.67 / $1,778.87	Professional		$118.67	$118.67	$1,778.87
United Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $195.48 / $586.44	Professional		$95.13	$195.48	$586.44