Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.43 / $408.22 / $3,388.35	Facility		$120.43	$408.22	$3,388.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $209.96 / $510.15	Professional		$69.28	$209.96	$510.15
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 $91.79 / $229.73 / $506.20	Professional		$91.79	$229.73	$506.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $96.12 / $96.12	Facility		$62.83	$96.12	$96.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $150.47 / $232.60	Professional		$102.96	$150.47	$232.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.06 / $340.13 / $548.62	Facility		$291.06	$340.13	$548.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $217.60 / $379.99	Professional		$112.74	$217.60	$379.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $108.96 / $212.96	Facility		$58.09	$108.96	$212.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $134.81 / $1,789.00	Facility		$58.09	$134.81	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $278.73 / $527.87	Professional		$114.17	$278.73	$527.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $127.01 / $250.69	Professional		$59.63	$127.01	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $108.02 / $212.96	Facility		$52.50	$108.02	$212.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $234.10 / $368.74	Professional		$151.01	$234.10	$368.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $307.24 / $307.24 / $307.24	Facility		$307.24	$307.24	$307.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $465.84 / $852.00	Professional		$109.84	$465.84	$852.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $349.80 / $598.35	Professional		$177.03	$349.80	$598.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $275.42 / $428.17	Professional		$110.86	$275.42	$428.17