Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $238.70 / $733.93	Facility		$45.74	$238.70	$733.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $93.53 / $429.43	Professional		$49.53	$93.53	$429.43
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 $57.67 / $91.81 / $263.14	Professional		$57.67	$91.81	$263.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $49.28 / $140.97	Facility		$39.77	$49.28	$140.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $80.22 / $106.78	Professional		$76.40	$80.22	$106.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.58 / $260.10 / $399.00	Facility		$222.58	$260.10	$399.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $160.86 / $366.34	Professional		$70.94	$160.86	$366.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $81.30 / $173.74	Facility		$40.17	$81.30	$173.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $95.12 / $1,368.00	Facility		$43.88	$95.12	$1,368.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.24 / $179.71 / $621.67	Professional		$91.24	$179.71	$621.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $101.24 / $235.87	Professional		$58.91	$101.24	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $81.30 / $173.74	Facility		$40.17	$81.30	$173.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $167.45 / $288.92	Professional		$95.34	$167.45	$288.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $107.01 / $192.96	Facility		$107.01	$107.01	$192.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $329.38 / $621.67	Professional		$87.61	$329.38	$621.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $256.02 / $535.58	Professional		$122.62	$256.02	$535.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $158.41 / $353.31	Professional		$87.78	$158.41	$353.31