Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.67 / $451.67 / $756.50	Facility		$88.67	$451.67	$756.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $162.65 / $540.27	Professional		$46.05	$162.65	$540.27
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 $74.58 / $144.27 / $349.24	Professional		$74.58	$144.27	$349.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.82 / $57.43	Facility		$39.40	$39.82	$57.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $93.74 / $116.30	Professional		$85.22	$93.74	$116.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $292.74 / $449.07	Facility		$250.51	$292.74	$449.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $111.05 / $274.83	Professional		$48.87	$111.05	$274.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $109.08 / $255.66	Facility		$43.82	$109.08	$255.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $227.48 / $1,239.00	Facility		$51.23	$227.48	$1,239.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $174.75 / $413.00	Professional		$90.94	$174.75	$413.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $218.92	Professional		$58.91	$95.42	$218.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $109.08 / $255.66	Facility		$43.82	$109.08	$255.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $163.90 / $305.07	Professional		$100.32	$163.90	$305.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $111.14 / $310.92	Facility		$83.16	$111.14	$310.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $213.40 / $866.68	Professional		$55.32	$213.40	$866.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $184.61 / $402.17	Professional		$95.76	$184.61	$402.17
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 $85.38 / $148.43 / $359.02	Professional		$85.38	$148.43	$359.02