Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $93.35 / $1,894.00	Facility		$38.35	$93.35	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $65.34 / $319.00	Professional		$39.08	$65.34	$319.00
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 $59.47 / $133.83 / $276.19	Professional		$59.47	$133.83	$276.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $41.49 / $57.19	Facility		$41.29	$41.49	$57.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $71.17 / $87.02	Professional		$64.70	$71.17	$87.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $219.03 / $336.00	Facility		$187.43	$219.03	$336.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $96.29 / $207.48	Professional		$49.74	$96.29	$207.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $82.98 / $193.38	Facility		$44.87	$82.98	$193.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $123.27 / $1,513.00	Facility		$48.56	$123.27	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $133.82 / $338.80	Professional		$66.61	$133.82	$338.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.66 / $148.75	Professional		$39.56	$65.66	$148.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $82.98 / $193.38	Facility		$44.87	$82.98	$193.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $151.19 / $227.18	Professional		$100.82	$151.19	$227.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.54 / $117.00 / $204.38	Facility		$87.54	$117.00	$204.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $230.05 / $525.36	Professional		$57.95	$230.05	$525.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $193.40 / $303.64	Professional		$88.82	$193.40	$303.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $104.96 / $277.68	Professional		$64.70	$104.96	$277.68