Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $391.86 / $3,371.72	Facility		$88.54	$391.86	$3,371.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $156.34 / $595.00	Professional		$90.73	$156.34	$595.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $289.12 / $608.08	Professional		$138.76	$289.12	$608.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $97.72 / $132.84	Facility		$96.39	$97.72	$132.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $153.46 / $186.54	Professional		$139.51	$153.46	$186.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.81 / $481.23 / $738.23	Facility		$411.81	$481.23	$738.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $244.14 / $450.60	Professional		$115.68	$244.14	$450.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.06 / $181.36 / $409.95	Facility		$103.06	$181.36	$409.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $289.17 / $1,513.00	Facility		$104.65	$289.17	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $292.14 / $791.12	Professional		$139.51	$292.14	$791.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $126.96 / $294.25	Professional		$77.53	$126.96	$294.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.06 / $181.36 / $409.95	Facility		$103.06	$181.36	$409.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.31 / $346.18 / $492.22	Professional		$229.31	$346.18	$492.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $206.19 / $275.57 / $484.43	Facility		$206.19	$275.57	$484.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $500.00 / $1,134.88	Professional		$175.42	$500.00	$1,134.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $456.37 / $659.40	Professional		$188.86	$456.37	$659.40
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 $121.81 / $214.37 / $550.95	Professional		$121.81	$214.37	$550.95