Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $236.97 / $1,894.00	Facility		$85.14	$236.97	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $116.88 / $422.33	Professional		$39.40	$116.88	$422.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $171.44 / $568.65	Professional		$59.48	$171.44	$568.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $48.80 / $58.19	Facility		$38.72	$48.80	$58.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $129.44 / $230.26	Professional		$102.97	$129.44	$230.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.89 / $373.83 / $573.46	Facility		$319.89	$373.83	$573.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $168.95 / $491.25	Professional		$63.71	$168.95	$491.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $80.18 / $199.98	Facility		$37.04	$80.18	$199.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $101.66 / $618.00	Facility		$38.36	$101.66	$618.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $315.70 / $870.16	Professional		$92.46	$315.70	$870.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $148.14 / $298.35	Professional		$70.00	$148.14	$298.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $74.09 / $199.98	Facility		$34.44	$74.09	$199.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $184.25 / $389.51	Professional		$93.35	$184.25	$389.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $241.55 / $1,300.00	Facility		$69.44	$241.55	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $444.27 / $870.16	Professional		$79.13	$444.27	$870.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $206.33 / $599.84	Professional		$144.47	$206.33	$599.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $217.05 / $505.80	Professional		$94.38	$217.05	$505.80