Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $81.27 / $3,660.36	Facility		$20.71	$81.27	$3,660.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.64 / $208.25	Professional		$19.05	$33.64	$208.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $74.86 / $157.66	Professional		$35.72	$74.86	$157.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.14 / $112.29 / $238.89	Professional	50	$56.14	$112.29	$238.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $22.34 / $31.75	Facility		$22.19	$22.34	$31.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $39.72 / $49.65	Professional		$36.11	$39.72	$49.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.53 / $122.15 / $187.38	Facility		$104.53	$122.15	$187.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $49.67 / $107.94	Professional		$27.36	$49.67	$107.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $46.23 / $108.36	Facility		$24.48	$46.23	$108.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $66.69 / $1,590.00	Facility		$26.63	$66.69	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $74.76 / $185.20	Professional		$37.79	$74.76	$185.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $65.66 / $145.26	Professional		$39.32	$65.66	$145.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $46.23 / $108.36	Facility		$24.48	$46.23	$108.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $83.19 / $128.72	Professional		$55.26	$83.19	$128.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $62.58 / $112.04	Facility		$46.82	$62.58	$112.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $103.23 / $295.68	Professional		$29.80	$103.23	$295.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $104.45 / $169.71	Professional		$56.37	$104.45	$169.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $59.93 / $150.63	Professional		$34.90	$59.93	$150.63