Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.45 / $330.23 / $10,296.15	Facility		$92.45	$330.23	$10,296.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $165.99 / $669.00	Professional		$93.92	$165.99	$669.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $306.92 / $636.27	Professional		$143.80	$306.92	$636.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $101.27 / $138.24	Facility		$100.16	$101.27	$138.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $161.44 / $196.72	Professional		$146.77	$161.44	$196.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.74 / $503.35 / $772.15	Facility		$430.74	$503.35	$772.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $227.36 / $442.58	Professional		$112.08	$227.36	$442.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $190.80 / $432.00	Facility		$108.17	$190.80	$432.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $276.52 / $3,593.00	Facility		$108.97	$276.52	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.03 / $300.14 / $818.56	Professional		$150.03	$300.14	$818.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $126.96 / $294.25	Professional		$77.53	$126.96	$294.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $190.80 / $432.00	Facility		$108.17	$190.80	$432.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.38 / $359.80 / $517.10	Professional		$241.38	$359.80	$517.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.68 / $285.58 / $501.09	Facility		$213.68	$285.58	$501.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $529.15 / $1,194.16	Professional		$140.99	$529.15	$1,194.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $201.11 / $470.58 / $692.49	Professional		$201.11	$470.58	$692.49
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 $146.77 / $240.66 / $639.60	Professional		$146.77	$240.66	$639.60