Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $107.87 / $1,894.00	Facility		$44.32	$107.87	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $60.08 / $288.54	Professional		$40.49	$60.08	$288.54
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 $67.51 / $137.71 / $302.37	Professional		$67.51	$137.71	$302.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $48.37 / $69.40	Facility		$47.94	$48.37	$69.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $71.80 / $91.69	Professional		$65.27	$71.80	$91.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $219.03 / $336.00	Facility		$187.43	$219.03	$336.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $104.49 / $209.31	Professional		$57.96	$104.49	$209.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $84.85 / $195.81	Facility		$53.01	$84.85	$195.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $143.82 / $1,590.00	Facility		$57.53	$143.82	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $131.50 / $399.52	Professional		$67.70	$131.50	$399.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $66.47 / $148.75	Professional		$39.56	$66.47	$148.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $84.85 / $195.81	Facility		$53.01	$84.85	$195.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $168.14 / $235.83	Professional		$117.72	$168.14	$235.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $101.15 / $135.19 / $245.23	Facility		$101.15	$135.19	$245.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $222.48 / $536.96	Professional		$63.21	$222.48	$536.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $111.77 / $225.06 / $306.27	Professional		$111.77	$225.06	$306.27
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 $65.56 / $114.45 / $266.76	Professional		$65.56	$114.45	$266.76