Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $90.98 / $462.20	Facility		$31.67	$90.98	$462.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $89.34 / $409.90	Professional		$31.67	$89.34	$409.90
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 $55.28 / $142.69 / $399.90	Professional		$55.28	$142.69	$399.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.02 / $221.37 / $604.35	Professional	50	$104.02	$221.37	$604.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.27 / $47.59	Facility		$34.26	$34.27	$47.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $105.45 / $126.75	Professional		$95.86	$105.45	$126.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.66 / $333.81 / $512.07	Facility		$285.66	$333.81	$512.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $102.61 / $274.73	Professional		$40.21	$102.61	$274.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $102.78 / $280.86	Facility		$37.42	$102.78	$280.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $115.03 / $1,513.00	Facility		$40.44	$115.03	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $179.24 / $447.32	Professional		$75.00	$179.24	$447.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $218.92	Professional		$58.91	$95.42	$218.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $102.78 / $280.86	Facility		$37.42	$102.78	$280.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $155.97 / $335.36	Professional		$84.48	$155.97	$335.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.29 / $96.61 / $170.93	Facility		$72.29	$96.61	$170.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $191.80 / $784.32	Professional		$47.80	$191.80	$784.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $161.06 / $456.83	Professional		$86.51	$161.06	$456.83
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 $86.54 / $158.66 / $387.87	Professional		$86.54	$158.66	$387.87