Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $109.04 / $365.51	Facility		$65.02	$109.04	$365.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $100.83 / $474.30	Professional		$65.02	$100.83	$474.30
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 $82.36 / $150.04 / $381.22	Professional		$82.36	$150.04	$381.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.77 / $167.77 / $167.77	Facility		$167.77	$167.77	$167.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.42 / $304.33 / $466.84	Facility		$260.42	$304.33	$466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $246.51 / $424.78	Professional		$104.01	$246.51	$424.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $98.46 / $204.98	Facility		$65.02	$98.46	$204.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $118.76 / $1,449.00	Facility		$65.02	$118.76	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $206.55 / $723.76	Professional		$101.56	$206.55	$723.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $110.23 / $235.87	Professional		$58.91	$110.23	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $97.53 / $204.98	Facility		$65.02	$97.53	$204.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $229.57 / $338.38	Professional		$157.86	$229.57	$338.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.61 / $131.61 / $317.36	Facility		$131.61	$131.61	$317.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $413.51 / $723.76	Professional		$140.32	$413.51	$723.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.05 / $427.89 / $625.14	Professional		$208.05	$427.89	$625.14
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 $99.15 / $179.98 / $409.45	Professional		$99.15	$179.98	$409.45