Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.68 / $96.14 / $368.24	Facility		$65.68	$96.14	$368.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $96.14 / $361.70	Professional		$65.68	$96.14	$361.70
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 $83.19 / $151.56 / $406.82	Professional		$83.19	$151.56	$406.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $146.91 / $146.91	Facility		$146.91	$146.91	$146.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.32 / $305.38 / $468.46	Facility		$261.32	$305.38	$468.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $243.38 / $425.65	Professional		$106.56	$243.38	$425.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.18 / $99.21 / $203.82	Facility		$61.18	$99.21	$203.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $117.54 / $1,449.00	Facility		$63.90	$117.54	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $217.33 / $738.00	Professional		$104.76	$217.33	$738.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $110.23 / $238.27	Professional		$58.91	$110.23	$238.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.18 / $99.21 / $203.82	Facility		$61.18	$99.21	$203.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $233.39 / $344.01	Professional		$157.86	$233.39	$344.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $114.33 / $313.37	Facility		$114.33	$114.33	$313.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $418.59 / $738.00	Professional		$139.72	$418.59	$738.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.22 / $218.22 / $314.38	Professional		$218.22	$218.22	$314.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $205.14 / $424.78 / $632.80	Professional		$205.14	$424.78	$632.80
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 $101.77 / $191.27 / $412.18	Professional		$101.77	$191.27	$412.18