Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $333.00 / $1,894.00	Facility		$45.03	$333.00	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $147.43 / $518.50	Professional		$43.41	$147.43	$518.50
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 $74.80 / $172.92 / $484.08	Professional		$74.80	$172.92	$484.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $42.47 / $59.45	Facility		$42.43	$42.47	$59.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $124.70 / $150.55	Professional		$113.36	$124.70	$150.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.82 / $395.94 / $607.38	Facility		$338.82	$395.94	$607.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $123.71 / $325.45	Professional		$52.66	$123.71	$325.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $127.29 / $334.56	Facility		$46.11	$127.29	$334.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $144.32 / $1,590.00	Facility		$50.25	$144.32	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $245.96 / $574.60	Professional		$126.19	$245.96	$574.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $125.21 / $290.37	Professional		$77.22	$125.21	$290.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $127.29 / $334.56	Facility		$46.11	$127.29	$334.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $165.52 / $405.90	Professional		$102.10	$165.52	$405.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.61 / $119.77 / $211.96	Facility		$89.61	$119.77	$211.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $237.20 / $928.80	Professional		$59.18	$237.20	$928.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $197.52 / $541.20	Professional		$90.42	$197.52	$541.20
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 $94.33 / $177.11 / $453.57	Professional		$94.33	$177.11	$453.57