Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $83.99 / $1,894.00	Facility		$39.84	$83.99	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $65.67 / $294.00	Professional		$39.84	$65.67	$294.00
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 $58.08 / $121.68 / $304.33	Professional		$58.08	$121.68	$304.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $91.33 / $91.33	Facility		$46.74	$91.33	$91.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $62.06 / $82.31	Professional		$59.10	$62.06	$82.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.02 / $202.18 / $310.14	Facility		$173.02	$202.18	$310.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $160.63 / $298.08	Professional		$64.81	$160.63	$298.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $64.88 / $134.16	Facility		$39.84	$64.88	$134.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $80.26 / $1,449.00	Facility		$40.89	$80.26	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $137.28 / $593.10	Professional		$66.70	$137.28	$593.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $78.01 / $156.20	Professional		$41.03	$78.01	$156.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $64.88 / $134.16	Facility		$39.84	$64.88	$134.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $143.66 / $221.47	Professional		$94.57	$143.66	$221.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $77.77 / $187.71	Facility		$77.77	$77.77	$187.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $276.12 / $593.10	Professional		$85.00	$276.12	$593.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $259.20 / $417.38	Professional		$125.17	$259.20	$417.38
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 $64.58 / $117.02 / $272.64	Professional		$64.58	$117.02	$272.64