Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $434.70 / $1,894.00	Facility		$36.20	$434.70	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $79.81 / $356.97	Professional		$36.20	$79.81	$356.97
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 $43.78 / $83.93 / $232.70	Professional		$43.78	$83.93	$232.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $42.61 / $83.39	Facility		$34.29	$42.61	$83.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $49.88 / $66.14	Professional		$47.50	$49.88	$66.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $162.16 / $248.77	Facility		$138.77	$162.16	$248.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $139.62 / $240.99	Professional		$57.68	$139.62	$240.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $58.93 / $108.23	Facility		$36.56	$58.93	$108.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $75.59 / $1,449.00	Facility		$38.79	$75.59	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $123.09 / $613.73	Professional		$60.25	$123.09	$613.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $71.34 / $156.20	Professional		$41.03	$71.34	$156.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $57.72 / $108.23	Facility		$36.56	$57.72	$108.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $119.90 / $176.50	Professional		$83.13	$119.90	$176.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $165.02	Facility		$55.83	$55.83	$165.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $223.25 / $613.73	Professional		$78.11	$223.25	$613.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $233.48 / $337.50	Professional		$111.45	$233.48	$337.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $107.30 / $257.33	Professional		$58.21	$107.30	$257.33