Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $741.31 / $13,489.63	Facility		$288.40	$741.31	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $489.78	Professional		$128.82	$154.88	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $707.95	Professional		$141.25	$269.15	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $234.42	Facility		$131.83	$165.96	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $186.21	Professional		$131.83	$131.83	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $660.69	Facility		$354.81	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $562.34 / $645.65	Professional		$199.53	$562.34	$645.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $288.40 / $4,168.69	Facility		$138.04	$288.40	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $426.58	Professional		$245.47	$331.13	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $331.13 / $1,778.28	Facility		$138.04	$331.13	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $1,905.46	Professional		$151.36	$239.88	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $446.68	Professional		$190.55	$295.12	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $891.25	Facility		$354.81	$354.81	$891.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $35.48 / $35.48 / $89.13	Facility	AS	$35.48	$35.48	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $691.83 / $1,905.46	Professional		$245.47	$691.83	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $776.25 / $891.25	Professional		$371.54	$776.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $575.44	Professional		$147.91	$213.80	$575.44