Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.86 / $271.86 / $271.86	Facility		$271.86	$271.86	$271.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $114.60 / $114.60	Professional		$114.60	$114.60	$114.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.11 / $316.97 / $335.25	Facility		$262.11	$316.97	$335.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $719.32 / $846.27	Professional		$150.52	$719.32	$846.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.55 / $367.85 / $367.85	Facility		$185.55	$367.85	$367.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.22 / $391.73 / $600.91	Facility		$335.22	$391.73	$600.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $328.28 / $373.05	Professional		$144.21	$328.28	$373.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.87 / $146.29 / $426.69	Facility		$93.87	$146.29	$426.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.72 / $156.04 / $426.69	Facility		$109.72	$156.04	$426.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $90.31 / $464.18	Professional		$73.15	$90.31	$464.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.87 / $146.29 / $426.69	Facility		$93.87	$146.29	$426.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $290.77 / $407.84	Professional		$203.58	$290.77	$407.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $579.07 / $579.07	Facility		$243.82	$579.07	$579.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.64 / $609.54 / $609.54	Professional		$487.64	$609.54	$609.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $259.61 / $259.61 / $259.61	Professional		$259.61	$259.61	$259.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.30 / $665.63 / $665.63	Professional		$354.30	$665.63	$665.63
United Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $121.91	Facility		$121.91	$121.91	$121.91
United Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $90.31 / $270.94	Professional		$63.22	$90.31	$270.94