Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $92.81 / $361.85	Facility		$29.16	$92.81	$361.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $58.75 / $335.29	Professional		$25.36	$58.75	$335.29
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 $40.51 / $94.43 / $238.32	Professional		$40.51	$94.43	$238.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $36.09 / $36.09	Facility		$23.78	$36.09	$36.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $59.93 / $92.63	Professional		$41.77	$59.93	$92.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.05 / $137.94 / $222.50	Facility		$118.05	$137.94	$222.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $89.18 / $159.35	Professional		$41.80	$89.18	$159.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $44.37 / $86.73	Facility		$22.70	$44.37	$86.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $86.73 / $1,756.00	Facility		$25.36	$86.73	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $151.69 / $314.43	Professional		$58.42	$151.69	$314.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $84.14 / $150.12	Professional		$40.93	$84.14	$150.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $44.37 / $86.73	Facility		$22.70	$44.37	$86.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $100.76 / $156.06	Professional		$57.25	$100.76	$156.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $113.54 / $113.54	Facility		$113.54	$113.54	$113.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $188.73 / $427.97	Professional		$38.46	$188.73	$427.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $148.34 / $265.19	Professional		$131.59	$148.34	$265.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $138.33 / $214.34	Professional		$55.76	$138.33	$214.34