Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.52 / $467.35 / $6,020.11	Facility		$34.52	$467.35	$6,020.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $829.40 / $4,026.48 / $4,026.48	Facility	50	$829.40	$4,026.48	$4,026.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $70.09 / $285.18	Professional		$34.97	$70.09	$285.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.68 / $304.83 / $656.63	Professional	50	$82.68	$304.83	$656.63
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 $46.86 / $101.46 / $258.75	Professional		$46.86	$101.46	$258.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.29 / $153.56 / $391.03	Professional	50	$70.29	$153.56	$391.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $41.89 / $63.53	Facility		$33.75	$41.89	$63.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $51.29 / $68.15	Professional		$48.85	$51.29	$68.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $166.38 / $255.23	Facility		$142.38	$166.38	$255.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $138.03 / $246.19	Professional		$56.55	$138.03	$246.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $53.82 / $110.81	Facility		$34.97	$53.82	$110.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.21 / $69.14 / $1,449.00	Facility		$35.21	$69.14	$1,449.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $488.00 / $488.00 / $488.00	Facility	50	$488.00	$488.00	$488.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $119.37 / $400.96	Professional		$57.34	$119.37	$400.96
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $145.72 / $179.07 / $1,396.00	Professional	50	$145.72	$179.07	$1,396.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $71.79 / $156.20	Professional		$41.03	$71.79	$156.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $53.82 / $110.81	Facility		$34.97	$53.82	$110.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $121.51 / $182.12	Professional		$81.59	$121.51	$182.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $58.48 / $161.97	Facility		$58.48	$58.48	$161.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $228.06 / $400.96	Professional		$73.97	$228.06	$400.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $225.53 / $344.76	Professional		$115.06	$225.53	$344.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $98.94 / $220.68	Professional		$53.95	$98.94	$220.68