Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $229.09 / $630.96	Facility		$39.81	$229.09	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $144.54	Professional		$28.18	$52.48	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $141.25	Professional		$38.02	$58.88	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $208.93	Facility		$112.20	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $109.65 / $194.98	Professional		$41.69	$109.65	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $3,162.28	Facility		$28.84	$54.95	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $117.49	Professional		$52.48	$79.43	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $1,513.56	Facility		$29.51	$58.88	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $316.23	Professional		$41.69	$79.43	$316.23
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 $50.12 / $89.13 / $151.36	Professional		$50.12	$89.13	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,288.25 / $1,288.25	Facility		$85.11	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $194.98 / $309.03	Professional		$50.12	$194.98	$309.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $269.15	Professional		$79.43	$181.97	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $144.54	Professional		$32.36	$54.95	$144.54