Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $326.52 / $14,482.00	Facility		$88.49	$326.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $91.53 / $228.55	Professional		$43.88	$91.53	$228.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,196.00 / $4,430.00	Facility		$1,139.00	$2,196.00	$4,430.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $139.85 / $414.92	Professional		$62.98	$139.85	$414.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $51.98 / $68.61	Facility		$41.58	$51.98	$68.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $106.16 / $185.85	Professional		$84.14	$106.16	$185.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.09 / $275.89 / $423.23	Facility		$236.09	$275.89	$423.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $143.18 / $317.98	Professional		$68.64	$143.18	$317.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $90.12 / $163.30	Facility		$44.41	$90.12	$163.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $93.50 / $447.50	Facility		$44.50	$93.50	$447.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $218.97 / $1,797.00	Professional		$95.20	$218.97	$1,797.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $147.23 / $224.24	Professional		$61.66	$147.23	$224.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $90.12 / $163.30	Facility		$44.41	$90.12	$163.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $173.55 / $300.16	Professional		$95.80	$173.55	$300.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $199.68 / $1,504.00	Facility		$75.00	$199.68	$1,504.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $213.60 / $1,797.00	Professional		$78.88	$213.60	$1,797.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $221.57 / $417.97 / $529.09	Professional		$221.57	$417.97	$529.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,153.10	Facility		$1,034.00	$1,641.00	$2,153.10
United Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $177.57 / $355.33	Professional		$93.46	$177.57	$355.33