Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $143.63 / $378.87	Facility		$66.84	$143.63	$378.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $97.98 / $364.19	Professional		$66.84	$97.98	$364.19
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 $84.67 / $151.05 / $411.68	Professional		$84.67	$151.05	$411.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.74 / $173.74 / $173.74	Facility		$173.74	$173.74	$173.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $314.86 / $483.00	Facility		$269.43	$314.86	$483.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $266.45 / $463.04	Professional		$104.76	$266.45	$463.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $101.76 / $207.72	Facility		$66.84	$101.76	$207.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $121.03 / $1,449.00	Facility		$67.19	$121.03	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $209.52 / $751.28	Professional		$95.74	$209.52	$751.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $101.24 / $238.64	Professional		$58.91	$101.24	$238.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $101.76 / $207.72	Facility		$66.84	$101.76	$207.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $238.73 / $351.87	Professional		$163.19	$238.73	$351.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $136.91 / $327.68	Facility		$136.91	$136.91	$327.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $428.94 / $751.28	Professional		$144.43	$428.94	$751.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $220.83 / $316.99	Professional		$220.83	$220.83	$316.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $440.41 / $648.51	Professional		$183.29	$440.41	$648.51
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 $95.61 / $180.65 / $423.70	Professional		$95.61	$180.65	$423.70