Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.82 / $188.99 / $3,452.56	Facility		$47.82	$188.99	$3,452.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $84.73 / $276.39	Professional		$47.82	$84.73	$276.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.88 / $395.44 / $403.76	Professional	50	$73.88	$395.44	$403.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $117.11 / $290.32	Professional		$64.28	$117.11	$290.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.38 / $175.66 / $445.36	Professional	50	$100.38	$175.66	$445.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $57.94 / $72.51	Facility		$48.28	$57.94	$72.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $85.70 / $112.53	Professional		$81.62	$85.70	$112.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.30 / $284.32 / $436.15	Facility		$243.30	$284.32	$436.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $200.43 / $406.06	Professional		$90.78	$200.43	$406.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $87.11 / $169.73	Facility		$49.57	$87.11	$169.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $104.21 / $1,449.00	Facility		$50.34	$104.21	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $191.50 / $667.00	Professional		$101.52	$191.50	$667.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $101.24 / $235.87	Professional		$58.91	$101.24	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $87.11 / $169.73	Facility		$49.57	$87.11	$169.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $196.18 / $302.41	Professional		$116.68	$196.18	$302.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $231.61 / $231.61 / $231.61	Facility		$231.61	$231.61	$231.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $387.28 / $2,504.50	Professional		$117.12	$387.28	$2,504.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $300.12 / $535.14	Professional		$173.11	$300.12	$535.14
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 $94.17 / $176.36 / $389.03	Professional		$94.17	$176.36	$389.03