Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $169.34 / $1,400.52	Facility		$43.09	$169.34	$1,400.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $99.75 / $477.10	Professional		$43.09	$99.75	$477.10
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 $66.54 / $128.41 / $260.18	Professional		$66.54	$128.41	$260.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $64.97 / $64.97	Facility		$43.31	$64.97	$64.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $125.61 / $194.16	Professional		$89.58	$125.61	$194.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.72 / $301.17 / $485.77	Facility		$257.72	$301.17	$485.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $151.10 / $336.97	Professional		$77.23	$151.10	$336.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $90.72 / $187.29	Facility		$43.09	$90.72	$187.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $133.08 / $1,778.00	Facility		$50.42	$133.08	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $296.85 / $631.65	Professional		$110.98	$296.85	$631.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $143.92 / $250.69	Professional		$58.91	$143.92	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $90.72 / $187.29	Facility		$43.09	$90.72	$187.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $183.95 / $334.59	Professional		$105.34	$183.95	$334.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $324.00 / $324.00	Facility		$324.00	$324.00	$324.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $408.20 / $711.04	Professional		$70.55	$408.20	$711.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $259.70 / $544.73	Professional		$163.92	$259.70	$544.73
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 $110.98 / $296.85 / $479.14	Professional		$110.98	$296.85	$479.14