Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $182.09 / $182.09	Professional		$182.09	$182.09	$182.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.88 / $641.99 / $679.03	Facility		$530.88	$641.99	$679.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $86.09 / $774.84	Professional		$45.77	$86.09	$774.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.27 / $375.54 / $502.54	Facility		$133.27	$375.54	$502.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.46 / $623.39 / $956.30	Facility		$533.46	$623.39	$956.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $664.91 / $755.58	Professional		$283.73	$664.91	$755.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $182.09 / $354.49	Facility		$102.67	$182.09	$354.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $232.45 / $1,172.86	Facility		$102.67	$232.45	$1,172.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $193.71 / $431.82	Professional		$116.23	$193.71	$431.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $123.46	Professional		$55.00	$65.00	$123.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $182.09 / $354.49	Facility		$102.67	$182.09	$354.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.94 / $587.51 / $839.30	Professional		$289.94	$587.51	$839.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $493.84 / $493.84 / $1,172.86	Facility		$493.84	$493.84	$1,172.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $102.67 / $102.67	Professional		$102.67	$102.67	$102.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $412.51 / $412.51 / $412.51	Professional		$412.51	$412.51	$412.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.98 / $1,057.66 / $1,057.66	Professional		$1,016.98	$1,057.66	$1,057.66
United Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $246.92	Facility		$246.92	$246.92	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $154.97 / $431.82	Professional		$116.23	$154.97	$431.82