Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $157.66 / $628.50	Facility		$32.31	$157.66	$628.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $44.06 / $189.00	Professional		$27.20	$44.06	$189.00
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 $35.59 / $64.84 / $164.87	Professional		$35.59	$64.84	$164.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $32.86 / $41.57	Facility		$27.39	$32.86	$41.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.85 / $54.54	Professional		$38.90	$40.85	$54.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $200.31	Facility		$111.74	$130.58	$200.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $101.58 / $180.71	Professional		$43.86	$101.58	$180.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $44.00 / $87.76	Facility		$28.10	$44.00	$87.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $56.25 / $1,368.00	Facility		$28.60	$56.25	$1,368.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $90.20 / $314.16	Professional		$44.52	$90.20	$314.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $70.00 / $148.75	Professional		$39.92	$70.00	$148.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $43.40 / $87.76	Facility		$28.10	$43.40	$87.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $98.80 / $146.15	Professional		$66.34	$98.80	$146.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.91 / $134.91 / $134.91	Facility		$134.91	$134.91	$134.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $178.29 / $314.16	Professional		$59.24	$178.29	$314.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $180.65 / $269.52	Professional		$87.21	$180.65	$269.52
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 $42.67 / $82.46 / $179.40	Professional		$42.67	$82.46	$179.40