Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $205.04 / $4,122.30	Facility		$51.17	$205.04	$4,122.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $160.88 / $603.44	Professional		$59.81	$160.88	$603.44
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 $94.52 / $189.04 / $433.36	Professional		$94.52	$189.04	$433.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $56.27 / $80.73	Facility		$55.84	$56.27	$80.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $100.24 / $126.09	Professional		$91.13	$100.24	$126.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.13 / $307.48 / $471.69	Facility		$263.13	$307.48	$471.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $155.58 / $291.75	Professional		$90.95	$155.58	$291.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $118.47 / $277.52	Facility		$61.84	$118.47	$277.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $170.10 / $1,513.00	Facility		$67.01	$170.10	$1,513.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $28.61 / $28.61 / $28.61	Facility	AS	$28.61	$28.61	$28.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $213.88 / $540.36	Professional		$113.38	$213.88	$540.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $219.68	Professional		$58.91	$95.42	$219.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $118.47 / $277.52	Facility		$61.84	$118.47	$277.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $223.45 / $340.63	Professional		$141.05	$223.45	$340.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $157.47 / $286.08	Facility		$117.82	$157.47	$286.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $11.78 / $15.75 / $28.61	Facility	AS	$11.78	$15.75	$28.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $304.10 / $743.20	Professional		$113.65	$304.10	$743.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.73 / $258.70 / $426.93	Professional		$177.73	$258.70	$426.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $195.86 / $413.81	Professional		$106.83	$195.86	$413.81