Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $831.76 / $1,905.46	Facility		$41.69	$831.76	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $251.19	Professional		$39.81	$87.10	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $257.04	Professional		$50.12	$85.11	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $66.07	Facility		$38.90	$46.77	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Professional		$56.23	$56.23	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $186.21 / $302.00	Facility		$162.18	$186.21	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $162.18 / $281.84	Professional		$63.10	$162.18	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $3,162.28	Facility		$42.66	$85.11	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $165.96	Professional		$75.86	$112.20	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $1,513.56	Facility		$46.77	$117.49	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $616.60	Professional		$63.10	$123.03	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $199.53	Professional		$79.43	$134.90	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $416.87 / $3,162.28	Facility		$64.57	$416.87	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $309.03 / $630.96	Professional		$74.13	$309.03	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $389.05	Professional		$177.83	$263.03	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $223.87	Professional		$46.77	$85.11	$223.87