Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $122.49 / $14,482.00	Facility		$50.19	$122.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $123.30 / $615.00	Professional		$51.72	$123.30	$615.00
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 $88.90 / $205.17 / $529.79	Professional		$88.90	$205.17	$529.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $54.44 / $75.92	Facility		$54.34	$54.44	$75.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.02 / $137.52 / $166.63	Professional		$125.02	$137.52	$166.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.36 / $432.80 / $663.92	Facility		$370.36	$432.80	$663.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $152.22 / $381.73	Professional		$64.45	$152.22	$381.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.98 / $150.02 / $366.99	Facility		$58.98	$150.02	$366.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $168.72 / $1,513.00	Facility		$63.74	$168.72	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $261.56 / $596.46	Professional		$113.70	$261.56	$596.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $126.96 / $290.37	Professional		$77.53	$126.96	$290.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.98 / $150.02 / $366.99	Facility		$58.98	$150.02	$366.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $236.55 / $440.29	Professional		$133.68	$236.55	$440.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.87 / $153.52 / $270.97	Facility		$114.87	$153.52	$270.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $298.60 / $1,020.56	Professional		$75.83	$298.60	$1,020.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $253.11 / $593.91	Professional		$137.00	$253.11	$593.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $211.54 / $564.82	Professional		$121.12	$211.54	$564.82