Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $119.14 / $451.67	Facility		$28.89	$119.14	$451.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $62.31 / $276.45	Professional		$27.42	$62.31	$276.45
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 $43.77 / $92.88 / $215.26	Professional		$43.77	$92.88	$215.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $26.95 / $37.29	Facility		$26.85	$26.95	$37.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $58.25 / $70.70	Professional		$52.95	$58.25	$70.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.99 / $181.12 / $277.83	Facility		$154.99	$181.12	$277.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $67.87 / $169.89	Professional		$32.21	$67.87	$169.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $63.54 / $155.69	Facility		$29.35	$63.54	$155.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $80.84 / $1,513.00	Facility		$32.08	$80.84	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $116.62 / $308.64	Professional		$53.18	$116.62	$308.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.66 / $147.46	Professional		$39.56	$65.66	$147.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $63.54 / $155.69	Facility		$29.35	$63.54	$155.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $100.34 / $186.07	Professional		$64.87	$100.34	$186.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $76.00 / $133.19	Facility		$56.86	$76.00	$133.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $148.10 / $428.56	Professional		$37.97	$148.10	$428.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $126.76 / $248.57	Professional		$67.11	$126.76	$248.57
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $83.36 / $215.93	Professional		$51.32	$83.36	$215.93