Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $274.89 / $523.74	Facility		$58.43	$274.89	$523.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $84.07 / $343.00	Professional		$48.04	$84.07	$343.00
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 $60.85 / $110.86 / $280.30	Professional		$60.85	$110.86	$280.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.21 / $166.29 / $439.39	Professional	50	$97.21	$166.29	$439.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $59.52 / $120.12	Facility		$47.37	$59.52	$120.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $70.93 / $94.02	Professional		$67.55	$70.93	$94.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $227.45 / $348.92	Facility		$194.64	$227.45	$348.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $159.57 / $316.87	Professional		$71.59	$159.57	$316.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $73.31 / $153.79	Facility		$48.04	$73.31	$153.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $101.03 / $1,309.00	Facility		$49.38	$101.03	$1,309.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $176.02 / $544.96	Professional		$76.17	$176.02	$544.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $85.00 / $163.35	Professional		$41.03	$85.00	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $73.31 / $153.79	Facility		$48.04	$73.31	$153.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $172.37 / $254.07	Professional		$115.92	$172.37	$254.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $93.72 / $233.92	Facility		$93.72	$93.72	$233.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $311.18 / $544.96	Professional		$103.82	$311.18	$544.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $316.61 / $470.50	Professional		$153.03	$316.61	$470.50
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 $73.09 / $147.13 / $302.39	Professional		$73.09	$147.13	$302.39