Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $65.66 / $1,894.00	Facility		$21.30	$65.66	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $62.88 / $586.00	Professional		$21.93	$62.88	$586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $88.00 / $227.21	Professional		$40.68	$88.00	$227.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.95 / $32.31	Facility		$22.94	$22.95	$32.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $59.96 / $72.87	Professional		$54.51	$59.96	$72.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $187.44 / $287.54	Facility		$160.40	$187.44	$287.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $64.61 / $163.72	Professional		$28.44	$64.61	$163.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $65.41 / $161.94	Facility		$24.97	$65.41	$161.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $71.64 / $1,590.00	Facility		$27.53	$71.64	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $116.54 / $284.57	Professional		$60.03	$116.54	$284.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $74.11	Professional		$19.34	$33.89	$74.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $65.41 / $161.94	Facility		$24.97	$65.41	$161.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $89.85 / $195.80	Professional		$55.43	$89.85	$195.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $64.69 / $115.03	Facility		$48.40	$64.69	$115.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $112.83 / $441.84	Professional		$32.20	$112.83	$441.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $107.46 / $256.85	Professional		$49.31	$107.46	$256.85
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 $55.42 / $106.18 / $234.15	Professional		$55.42	$106.18	$234.15