Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $474.20 / $7,413.00	Facility		$222.25	$474.20	$7,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $322.26	Professional		$222.25	$222.25	$322.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.16 / $477.84 / $495.62	Facility		$411.16	$477.84	$495.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $222.25 / $277.81	Professional		$188.91	$222.25	$277.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.60 / $355.60 / $464.50	Facility		$355.60	$355.60	$464.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.35 / $644.57 / $921.37	Facility		$355.35	$644.57	$921.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $399.74 / $454.25	Professional		$253.07	$399.74	$454.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $237.10 / $489.73	Facility		$222.25	$237.10	$489.73
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $444.50 / $444.50 / $444.50	Professional		$444.50	$444.50	$444.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $237.10 / $850.00	Facility		$237.10	$237.10	$850.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.10 / $284.52 / $444.50	Professional		$237.10	$284.52	$444.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $112.05 / $588.41	Professional		$85.00	$112.05	$588.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $237.10 / $489.73	Facility		$222.25	$237.10	$489.73
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $444.50 / $444.50 / $444.50	Professional		$444.50	$444.50	$444.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $345.96 / $837.47	Professional		$222.25	$345.96	$837.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,205.75 / $1,205.75 / $1,205.75	Facility		$1,205.75	$1,205.75	$1,205.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $312.04 / $312.04 / $312.04	Professional		$312.04	$312.04	$312.04
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $251.14 / $427.88	Professional		$222.25	$251.14	$427.88