Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $93.69 / $3,119.00	Facility		$42.29	$93.69	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $86.77 / $244.27	Professional		$42.29	$86.77	$244.27
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 $59.13 / $119.31 / $284.48	Professional		$59.13	$119.31	$284.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $52.03 / $65.61	Facility		$43.36	$52.03	$65.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $87.01 / $114.39	Professional		$82.87	$87.01	$114.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.91 / $288.52 / $442.61	Facility		$246.91	$288.52	$442.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $182.95 / $411.43	Professional		$83.27	$182.95	$411.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $89.39 / $181.35	Facility		$44.18	$89.39	$181.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $101.52 / $1,449.00	Facility		$44.97	$101.52	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $246.26 / $833.47	Professional		$127.66	$246.26	$833.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $100.37 / $235.87	Professional		$58.91	$100.37	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $89.39 / $181.35	Facility		$44.18	$89.39	$181.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $189.26 / $309.16	Professional		$104.48	$189.26	$309.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $116.32 / $116.32 / $207.37	Facility		$116.32	$116.32	$207.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $350.26 / $888.72	Professional		$105.96	$350.26	$888.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $190.04 / $322.06	Professional		$88.54	$190.04	$322.06
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $217.20 / $440.71	Professional		$112.91	$217.20	$440.71