Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $81.28 / $389.05	Facility		$28.84	$81.28	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $75.86 / $263.03	Professional		$28.84	$75.86	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $213.80	Professional		$47.86	$93.33	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.11 / $36.31	Facility		$27.54	$33.11	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $70.79	Professional		$52.48	$57.54	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $288.40	Facility		$154.88	$181.97	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $77.62 / $173.78	Professional		$33.11	$77.62	$173.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $83.18 / $3,311.31	Facility		$28.84	$83.18	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $169.82	Professional		$53.70	$102.33	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $83.18 / $1,584.89	Facility		$29.51	$83.18	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $117.49 / $371.54	Professional		$53.70	$117.49	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $186.21	Professional		$46.77	$87.10	$186.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,659.59 / $1,659.59	Facility		$131.83	$1,659.59	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $416.87	Professional		$32.36	$66.07	$416.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $251.19	Professional		$67.61	$125.89	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $66.07 / $186.21	Professional		$31.62	$66.07	$186.21