Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.99 / $105.53 / $442.54	Facility		$42.99	$105.53	$442.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $150.00 / $714.00	Professional		$44.50	$150.00	$714.00
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 $74.87 / $180.77 / $468.55	Professional		$74.87	$180.77	$468.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $46.90 / $65.30	Facility		$46.79	$46.90	$65.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $121.40 / $146.84	Professional		$110.36	$121.40	$146.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $384.36 / $589.61	Facility		$328.91	$384.36	$589.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $130.38 / $338.93	Professional		$54.78	$130.38	$338.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.77 / $132.43 / $323.76	Facility		$50.77	$132.43	$323.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $145.11 / $1,513.00	Facility		$54.80	$145.11	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $233.22 / $516.16	Professional		$97.05	$233.22	$516.16
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 $50.77 / $132.43 / $323.76	Facility		$50.77	$132.43	$323.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $208.65 / $388.37	Professional		$115.01	$208.65	$388.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $98.96 / $132.26 / $233.11	Facility		$98.96	$132.26	$233.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $254.95 / $903.20	Professional		$64.95	$254.95	$903.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $216.82 / $525.69	Professional		$117.00	$216.82	$525.69
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 $78.98 / $155.63 / $438.74	Professional		$78.98	$155.63	$438.74