Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $332.47 / $972.95	Facility		$39.70	$332.47	$972.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $166.71 / $332.47	Professional		$121.96	$166.71	$332.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $196.88 / $426.00	Facility		$141.00	$196.88	$426.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.21 / $317.16 / $982.83	Professional		$153.21	$317.16	$982.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $128.44 / $194.32	Facility		$48.72	$128.44	$194.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $133.38 / $215.01	Professional		$52.45	$133.38	$215.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.70 / $246.25 / $323.30	Facility		$216.70	$246.25	$323.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $586.51 / $711.43	Professional		$142.99	$586.51	$711.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $179.55 / $316.52	Facility		$133.16	$179.55	$316.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $176.66 / $317.77	Facility		$47.47	$176.66	$317.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $372.80 / $1,024.30	Professional		$171.79	$372.80	$1,024.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $96.85 / $349.90	Professional		$55.00	$96.85	$349.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $176.66 / $310.54	Facility		$133.16	$176.66	$310.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.79 / $374.68 / $539.41	Professional		$247.79	$374.68	$539.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $719.08 / $719.08	Facility		$379.03	$719.08	$719.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.99 / $817.55 / $1,024.30	Professional		$234.99	$817.55	$1,024.30
Security Health Facility/Professional Facility Modifier Low / Median / High Price $285.58 / $376.29 / $421.28	Facility		$285.58	$376.29	$421.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $52.50 / $64.56	Professional		$44.63	$52.50	$64.56
United Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $277.56 / $629.51	Professional		$142.19	$277.56	$629.51