Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $300.02 / $14,482.00	Facility		$177.04	$300.02	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $882.70 / $882.70 / $1,021.80	Facility	50	$882.70	$882.70	$1,021.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $177.04 / $558.35	Professional		$115.17	$177.04	$558.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.47 / $247.22 / $1,160.29	Professional	50	$87.47	$247.22	$1,160.29
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 $131.16 / $228.59 / $551.23	Professional		$131.16	$228.59	$551.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $218.62 / $349.59 / $847.98	Professional	50	$218.62	$349.59	$847.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.97 / $143.97 / $143.97	Facility		$143.97	$143.97	$143.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $137.04 / $178.35	Professional		$130.51	$137.04	$178.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.79 / $460.17 / $742.24	Facility		$393.79	$460.17	$742.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $304.18 / $532.59	Professional		$135.72	$304.18	$532.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $130.30 / $173.73 / $284.73	Facility		$130.30	$173.73	$284.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.30 / $228.73 / $1,789.00	Facility		$130.30	$228.73	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $317.58 / $1,141.28	Professional		$151.44	$317.58	$1,141.28
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $227.90 / $687.02 / $721.48	Professional	50	$227.90	$687.02	$721.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $112.06 / $274.18	Professional		$65.00	$112.06	$274.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.71 / $176.51 / $299.82	Facility		$123.71	$176.51	$299.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $338.40 / $470.51	Professional		$226.85	$338.40	$470.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $824.76 / $824.76 / $824.76	Facility		$824.76	$824.76	$824.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.98 / $626.58 / $1,141.28	Professional		$196.98	$626.58	$1,141.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $424.68 / $1,146.69 / $1,431.61	Professional		$424.68	$1,146.69	$1,431.61
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 $146.38 / $303.89 / $642.76	Professional		$146.38	$303.89	$642.76