Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $99.86 / $14,482.00	Facility		$38.25	$99.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $99.86 / $490.00	Professional		$38.25	$99.86	$490.00
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 $67.73 / $163.12 / $446.00	Professional		$67.73	$163.12	$446.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $41.28 / $57.24	Facility		$41.15	$41.28	$57.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $115.56 / $139.19	Professional		$105.05	$115.56	$139.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.58 / $366.45 / $562.15	Facility		$313.58	$366.45	$562.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $121.19 / $342.61	Professional		$47.61	$121.19	$342.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $122.82 / $307.77	Facility		$44.75	$122.82	$307.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.16 / $128.28 / $1,513.00	Facility		$49.16	$128.28	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $205.16 / $491.37	Professional		$91.10	$205.16	$491.37
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 $44.75 / $122.82 / $307.77	Facility		$44.75	$122.82	$307.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $188.15 / $368.89	Professional		$100.82	$188.15	$368.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $116.41 / $204.38	Facility		$87.10	$116.41	$204.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $226.65 / $860.56	Professional		$57.66	$226.65	$860.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $192.48 / $501.35	Professional		$103.28	$192.48	$501.35
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 $92.76 / $171.21 / $420.45	Professional		$92.76	$171.21	$420.45