Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.36 / $105.54 / $447.00	Facility		$41.36	$105.54	$447.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $110.09 / $529.00	Professional		$42.04	$110.09	$529.00
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 $76.59 / $174.72 / $471.83	Professional		$76.59	$174.72	$471.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.96 / $275.70 / $710.16	Professional	50	$123.96	$275.70	$710.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $44.60 / $61.84	Facility		$44.54	$44.60	$61.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.47 / $122.62 / $147.77	Professional		$111.47	$122.62	$147.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.51 / $388.57 / $596.07	Facility		$332.51	$388.57	$596.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $125.08 / $327.61	Professional		$55.31	$125.08	$327.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $133.02 / $328.38	Facility		$48.48	$133.02	$328.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $138.51 / $1,513.00	Facility		$53.00	$138.51	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.05 / $232.33 / $524.15	Professional		$100.05	$232.33	$524.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $126.36 / $290.37	Professional		$77.22	$126.36	$290.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $133.02 / $328.38	Facility		$48.48	$133.02	$328.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $203.32 / $390.53	Professional		$108.62	$203.32	$390.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.11 / $125.77 / $222.04	Facility		$94.11	$125.77	$222.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $246.95 / $913.04	Professional		$62.32	$246.95	$913.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $209.01 / $531.39	Professional		$113.79	$209.01	$531.39
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 $103.30 / $192.77 / $472.27	Professional		$103.30	$192.77	$472.27