Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $84.44 / $328.02	Facility		$41.58	$84.44	$328.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $84.44 / $226.99	Professional		$41.58	$84.44	$226.99
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 $52.68 / $95.97 / $254.28	Professional		$52.68	$95.97	$254.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $157.86 / $157.86	Facility		$157.86	$157.86	$157.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.29 / $273.79 / $420.00	Facility		$234.29	$273.79	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $174.56 / $400.61	Professional		$73.94	$174.56	$400.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $84.44 / $175.87	Facility		$39.08	$84.44	$175.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $90.13 / $1,449.00	Facility		$40.93	$90.13	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $197.24 / $648.48	Professional		$87.80	$197.24	$648.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $101.24 / $235.87	Professional		$58.42	$101.24	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $84.44 / $175.87	Facility		$39.08	$84.44	$175.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.44 / $170.83 / $304.66	Professional		$101.44	$170.83	$304.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $124.95 / $124.95 / $202.80	Facility		$124.95	$124.95	$202.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $340.74 / $648.48	Professional		$92.63	$340.74	$648.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $136.40 / $271.70	Professional		$136.40	$136.40	$271.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.04 / $270.69 / $561.10	Professional		$131.04	$270.69	$561.10
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 $85.89 / $164.50 / $356.41	Professional		$85.89	$164.50	$356.41