Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $168.35 / $1,894.00	Facility		$18.14	$168.35	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $70.00 / $510.00	Professional		$20.51	$70.00	$510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $75.01 / $194.69	Professional		$34.65	$75.01	$194.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $19.84 / $27.55	Facility		$19.78	$19.84	$27.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $50.08 / $60.56	Professional		$45.53	$50.08	$60.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $159.01 / $243.92	Facility		$136.07	$159.01	$243.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $55.90 / $148.74	Professional		$24.60	$55.90	$148.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $54.64 / $134.58	Facility		$21.45	$54.64	$134.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $61.77 / $1,590.00	Facility		$23.05	$61.77	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $103.59 / $224.73	Professional		$52.40	$103.59	$224.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $73.04	Professional		$19.34	$33.89	$73.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $54.64 / $134.58	Facility		$21.45	$54.64	$134.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $76.84 / $162.80	Professional		$47.40	$76.84	$162.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $55.95 / $98.42	Facility		$41.86	$55.95	$98.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $95.63 / $374.00	Professional		$27.85	$95.63	$374.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $92.93 / $217.65	Professional		$41.75	$92.93	$217.65
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 $47.80 / $82.65 / $204.49	Professional		$47.80	$82.65	$204.49