Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $143.37 / $411.63	Facility		$110.22	$143.37	$411.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $143.37 / $528.19	Professional		$105.76	$143.37	$528.19
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 $136.72 / $244.75 / $657.56	Professional		$136.72	$244.75	$657.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $185.66 / $185.66	Facility		$185.66	$185.66	$185.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.48 / $452.80 / $694.61	Facility		$387.48	$452.80	$694.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.41 / $401.36 / $646.42	Professional		$171.41	$401.36	$646.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $155.76 / $300.16	Facility		$108.70	$155.76	$300.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $179.65 / $1,449.00	Facility		$110.22	$179.65	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $340.00 / $1,099.20	Professional		$161.97	$340.00	$1,099.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $152.06 / $334.55	Professional		$78.44	$152.06	$334.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $154.31 / $300.16	Facility		$108.70	$154.31	$300.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.69 / $346.98 / $495.77	Professional		$252.69	$346.98	$495.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $140.88 / $527.44	Facility		$140.88	$140.88	$527.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $235.46 / $624.02 / $1,099.20	Professional		$235.46	$624.02	$1,099.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $369.78 / $369.78 / $473.80	Professional		$369.78	$369.78	$473.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $344.19 / $718.02 / $943.41	Professional		$344.19	$718.02	$943.41
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 $156.18 / $300.89 / $635.23	Professional		$156.18	$300.89	$635.23