Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.99 / $717.38 / $2,462.15	Facility		$111.99	$717.38	$2,462.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $178.61 / $756.00	Professional		$95.82	$178.61	$756.00
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 $151.97 / $328.95 / $671.11	Professional		$151.97	$328.95	$671.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $107.03 / $146.22	Facility		$105.79	$107.03	$146.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $173.91 / $211.87	Professional		$158.10	$173.91	$211.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.08 / $542.30 / $831.92	Facility		$464.08	$542.30	$831.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $237.32 / $474.36	Professional		$117.03	$237.32	$474.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $205.53 / $465.00	Facility		$113.95	$205.53	$465.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.98 / $315.24 / $3,593.00	Facility		$121.98	$315.24	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $327.58 / $864.88	Professional		$158.13	$327.58	$864.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $153.96 / $349.74	Professional		$83.91	$153.96	$349.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $205.53 / $465.00	Facility		$113.95	$205.53	$465.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $386.10 / $558.21	Professional		$256.45	$386.10	$558.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $225.83 / $301.82 / $531.37	Facility		$225.83	$301.82	$531.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $551.79 / $1,282.32	Professional		$149.08	$551.79	$1,282.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $207.12 / $497.56 / $744.09	Professional		$207.12	$497.56	$744.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $239.49 / $610.13	Professional		$134.97	$239.49	$610.13