Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $196.75 / $365.63	Facility		$196.75	$196.75	$365.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $154.12 / $196.75	Professional		$126.25	$154.12	$196.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.51 / $426.30 / $450.89	Facility		$352.51	$426.30	$450.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $139.36 / $702.27	Professional		$80.97	$139.36	$702.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.53 / $445.23 / $445.23	Facility		$249.53	$445.23	$445.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.46 / $527.57 / $809.30	Facility		$451.46	$527.57	$809.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.98 / $441.51 / $501.71	Professional		$193.98	$441.51	$501.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $196.75 / $573.86	Facility		$126.25	$196.75	$573.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $196.75 / $573.86	Facility		$147.56	$196.75	$573.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $121.45 / $590.26	Professional		$95.10	$121.45	$590.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $196.75 / $573.86	Facility		$126.25	$196.75	$573.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $273.77 / $391.05 / $548.47	Professional		$273.77	$391.05	$548.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $327.92 / $778.81 / $778.81	Facility		$327.92	$778.81	$778.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $655.84 / $819.80 / $819.80	Professional		$655.84	$819.80	$819.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $349.16 / $349.16	Professional		$349.16	$349.16	$349.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $476.50 / $895.22 / $895.22	Professional		$476.50	$895.22	$895.22
United Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $121.45 / $425.08	Professional		$81.98	$121.45	$425.08