Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $73.50 / $1,894.00	Facility		$13.23	$73.50	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $60.42 / $230.00	Professional		$13.35	$60.42	$230.00
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 $25.26 / $69.59 / $241.88	Professional		$25.26	$69.59	$241.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $44.58 / $106.81 / $363.58	Professional	50	$44.58	$106.81	$363.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $14.18 / $19.82	Facility		$14.12	$14.18	$19.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $71.38 / $85.06	Professional		$64.89	$71.38	$85.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $227.45 / $348.92	Facility		$194.64	$227.45	$348.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $45.20 / $186.30	Professional		$17.51	$45.20	$186.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $48.03 / $189.03	Facility		$15.59	$48.03	$189.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $77.87 / $1,513.00	Facility		$16.94	$77.87	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $94.27 / $267.02	Professional		$46.20	$94.27	$267.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $63.07 / $142.90	Professional		$38.20	$63.07	$142.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $48.03 / $189.03	Facility		$15.59	$48.03	$189.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $75.54 / $227.18	Professional		$35.11	$75.54	$227.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $39.82 / $115.02	Facility		$29.79	$39.82	$115.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $84.38 / $529.20	Professional		$19.82	$84.38	$529.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $67.11 / $309.80	Professional		$35.63	$67.11	$309.80
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 $54.60 / $95.00 / $267.02	Professional		$54.60	$95.00	$267.02