Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $119.00 / $321.60	Facility		$30.74	$119.00	$321.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $30.21 / $81.92	Professional		$16.26	$30.21	$81.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,763.00 / $5,193.58	Facility		$1,139.00	$2,763.00	$5,193.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $53.02 / $148.72	Professional		$19.72	$53.02	$148.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $17.46 / $21.00	Facility		$13.66	$17.46	$21.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $50.68 / $57.04	Professional		$25.42	$50.68	$57.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $86.35 / $132.46	Facility		$73.89	$86.35	$132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $52.89 / $100.62	Professional		$28.14	$52.89	$100.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $21.33 / $43.07	Facility		$10.62	$21.33	$43.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $30.21 / $1,756.00	Facility		$10.62	$30.21	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $104.56 / $178.53	Professional		$35.22	$104.56	$178.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $51.58 / $100.95	Professional		$20.37	$51.58	$100.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $21.33 / $43.07	Facility		$10.62	$21.33	$43.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $53.30 / $93.12	Professional		$33.56	$53.30	$93.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $38.52 / $66.59	Facility		$28.82	$38.52	$66.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $100.43 / $205.68	Professional		$28.96	$100.43	$205.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $104.28 / $194.08	Professional		$74.34	$104.28	$194.08
United Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $1,455.00 / $2,202.90	Facility		$618.00	$1,455.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $103.94 / $146.32	Professional		$34.44	$103.94	$146.32