Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.66 / $141.50 / $571.52	Facility		$75.66	$141.50	$571.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $79.25 / $271.61	Professional		$53.22	$79.25	$271.61
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 $58.42 / $98.81 / $240.79	Professional		$58.42	$98.81	$240.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.34 / $149.40 / $374.32	Professional	50	$98.34	$149.40	$374.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $61.68 / $61.68	Facility		$61.68	$61.68	$61.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $64.89 / $84.97	Professional		$61.80	$64.89	$84.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.93 / $213.77 / $344.80	Facility		$182.93	$213.77	$344.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $137.32 / $247.98	Professional		$60.27	$137.32	$247.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $75.66 / $131.51	Facility		$50.81	$75.66	$131.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $105.06 / $1,778.00	Facility		$55.40	$105.06	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $146.27 / $902.20	Professional		$70.78	$146.27	$902.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $147.84	Professional		$39.92	$63.30	$147.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $76.95 / $135.08	Facility		$50.81	$76.95	$135.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $155.80 / $218.52	Professional		$96.20	$155.80	$218.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $352.32 / $352.32 / $352.32	Facility		$352.32	$352.32	$352.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $291.74 / $902.20	Professional		$95.25	$291.74	$902.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.73 / $489.68 / $666.52	Professional		$197.73	$489.68	$666.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $121.63 / $291.52	Professional		$66.34	$121.63	$291.52