Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.47 / $377.10 / $790.08	Facility		$98.47	$377.10	$790.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $110.24 / $590.25	Professional		$49.69	$110.24	$590.25
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 $94.60 / $187.25 / $436.31	Professional		$94.60	$187.25	$436.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $51.28 / $74.84	Facility		$50.39	$51.28	$74.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $116.04 / $145.65	Professional		$105.49	$116.04	$145.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.38 / $358.03 / $549.23	Facility		$306.38	$358.03	$549.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $161.34 / $338.73	Professional		$69.73	$161.34	$338.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $135.03 / $320.25	Facility		$56.66	$135.03	$320.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $169.59 / $1,455.00	Facility		$60.47	$169.59	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $221.17 / $585.00	Professional		$114.84	$221.17	$585.00
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 $56.66 / $135.03 / $320.25	Facility		$56.66	$135.03	$320.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $204.54 / $379.71	Professional		$129.19	$204.54	$379.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $142.10 / $400.08	Facility		$106.32	$142.10	$400.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $278.60 / $1,006.26	Professional		$101.12	$278.60	$1,006.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $236.07 / $495.66	Professional		$124.55	$236.07	$495.66
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 $106.43 / $217.42 / $454.38	Professional		$106.43	$217.42	$454.38