Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1,195.20 / $1,922.48	Facility		$0.90	$1,195.20	$1,922.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $59.12 / $318.75	Professional		$42.32	$59.12	$318.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $146.66 / $276.52	Professional		$58.33	$146.66	$276.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $70.88 / $70.88	Facility		$46.89	$70.88	$70.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $84.27 / $130.25	Professional		$57.53	$84.27	$130.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $184.28 / $297.24	Facility		$157.69	$184.28	$297.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $144.38 / $238.22	Professional		$93.07	$144.38	$238.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $66.11 / $100.90	Facility		$45.18	$66.11	$100.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $98.73 / $1,789.00	Facility		$49.70	$98.73	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $187.17 / $372.48	Professional		$68.92	$187.17	$372.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $85.00 / $168.00	Professional		$41.98	$85.00	$168.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $66.11 / $100.90	Facility		$45.18	$66.11	$100.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $142.56 / $206.88	Professional		$77.36	$142.56	$206.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $224.03 / $224.03 / $224.03	Facility		$224.03	$224.03	$224.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $242.20 / $451.12	Professional		$95.78	$242.20	$451.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $184.57 / $225.00	Professional		$84.44	$184.57	$225.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $177.14 / $240.82	Professional		$68.92	$177.14	$240.82