Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $195.59 / $5,588.16	Facility		$63.21	$195.59	$5,588.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $105.42 / $434.49	Professional		$60.27	$105.42	$434.49
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 $82.44 / $202.34 / $445.30	Professional		$82.44	$202.34	$445.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $85.28 / $85.28	Facility		$56.00	$85.28	$85.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $131.28 / $202.92	Professional		$90.27	$131.28	$202.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $296.95 / $478.98	Facility		$254.12	$296.95	$478.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $194.91 / $325.50	Professional		$105.76	$194.91	$325.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $103.96 / $186.90	Facility		$63.21	$103.96	$186.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $117.30 / $3,995.00	Facility		$67.69	$117.30	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $250.34 / $462.09	Professional		$98.18	$250.34	$462.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $110.23 / $241.64	Professional		$59.63	$110.23	$241.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $103.96 / $186.90	Facility		$63.21	$103.96	$186.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $209.27 / $322.64	Professional		$135.00	$209.27	$322.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Facility		$274.83	$274.83	$274.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $407.39 / $716.40	Professional		$98.39	$407.39	$716.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.69 / $313.31 / $523.26	Professional		$185.69	$313.31	$523.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $233.33 / $374.10	Professional		$95.50	$233.33	$374.10