Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $358.10 / $1,894.00	Facility		$77.33	$358.10	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $102.22 / $412.30	Professional		$34.36	$102.22	$412.30
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 $60.63 / $140.19 / $384.57	Professional		$60.63	$140.19	$384.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.36 / $47.44	Facility		$34.22	$34.36	$47.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $100.46 / $120.64	Professional		$91.33	$100.46	$120.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.04 / $319.07 / $489.46	Facility		$273.04	$319.07	$489.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $102.88 / $282.06	Professional		$42.62	$102.88	$282.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $102.66 / $268.08	Facility		$37.14	$102.66	$268.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.24 / $115.95 / $1,513.00	Facility		$41.24	$115.95	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $226.14 / $513.90	Professional		$97.16	$226.14	$513.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $94.25 / $218.92	Professional		$58.91	$94.25	$218.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $102.66 / $268.08	Facility		$37.14	$102.66	$268.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $132.41 / $325.60	Professional		$81.68	$132.41	$325.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $96.92 / $169.56	Facility		$72.52	$96.92	$169.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $188.80 / $747.04	Professional		$47.96	$188.80	$747.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $160.08 / $435.63	Professional		$71.98	$160.08	$435.63
United Facility/Professional Facility Modifier Low / Median / High Price $962.00 / $1,297.00 / $2,202.90	Facility		$962.00	$1,297.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $155.81 / $379.17	Professional		$90.91	$155.81	$379.17