Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.26 / $242.82 / $360.99	Facility		$194.26	$242.82	$360.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.74 / $153.79 / $283.14	Professional		$132.74	$153.79	$283.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.04 / $420.89 / $445.17	Facility		$348.04	$420.89	$445.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $98.04 / $647.52	Professional		$64.75	$98.04	$647.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $395.62 / $411.18	Facility		$95.31	$395.62	$411.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.15 / $520.20 / $798.00	Facility		$445.15	$520.20	$798.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.85 / $435.91 / $495.35	Professional		$185.85	$435.91	$495.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $67.77 / $194.26	Facility		$62.66	$67.77	$194.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $132.74 / $768.93	Facility		$62.66	$132.74	$768.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $100.64 / $291.38	Professional		$59.30	$100.64	$291.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $242.82	Professional		$55.00	$85.00	$242.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $67.77 / $194.26	Facility		$62.66	$67.77	$194.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $385.65 / $540.90	Professional		$190.00	$385.65	$540.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $323.76 / $323.76 / $768.93	Facility		$323.76	$323.76	$768.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $47.73 / $95.92	Professional		$44.75	$47.73	$95.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $74.12 / $344.73	Professional		$74.12	$74.12	$344.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $341.62 / $883.86	Professional		$74.12	$341.62	$883.86
United Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $161.88 / $161.88	Facility		$161.88	$161.88	$161.88
United Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $97.13 / $301.32	Professional		$60.38	$97.13	$301.32