Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $223.87 / $14,454.40	Facility		$74.13	$223.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $346.74	Professional		$67.61	$141.25	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $380.19	Professional		$87.10	$173.78	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $97.72	Facility		$72.44	$89.13	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $114.82	Professional		$85.11	$93.33	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $467.74	Facility		$251.19	$295.12	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $251.19	Professional		$83.18	$173.78	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $194.98 / $3,311.31	Facility		$70.79	$194.98	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $275.42	Professional		$144.54	$208.93	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $1,737.80	Facility		$75.86	$194.98	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $575.44	Professional		$81.28	$169.82	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $302.00	Professional		$134.90	$208.93	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,995.26 / $1,995.26	Facility		$204.17	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $676.08	Professional		$75.86	$131.83	$676.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $331.13 / $398.11	Professional		$134.90	$331.13	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $316.23	Professional		$70.79	$120.23	$316.23