Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.04 / $427.55 / $635.62	Facility		$342.04	$427.55	$635.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.72 / $270.77 / $397.54	Professional		$233.72	$270.77	$397.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.80 / $741.08 / $783.83	Facility		$612.80	$741.08	$783.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $137.68 / $1,140.11	Professional		$114.01	$137.68	$1,140.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.68 / $696.59 / $723.98	Facility		$160.68	$696.59	$723.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $783.97 / $916.14 / $1,405.38	Facility		$783.97	$916.14	$1,405.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.51 / $509.90 / $872.19	Professional		$327.51	$509.90	$872.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $97.18 / $342.04	Facility		$90.00	$97.18	$342.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $233.72 / $1,353.89	Facility		$90.00	$233.72	$1,353.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $171.02 / $513.04	Professional		$83.27	$171.02	$513.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $142.52 / $786.68	Professional		$55.00	$142.52	$786.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $97.18 / $342.04	Facility		$90.00	$97.18	$342.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $679.52 / $953.07	Professional		$334.78	$679.52	$953.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $570.05 / $570.05 / $1,353.89	Facility		$570.05	$570.05	$1,353.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $66.98 / $101.67	Professional		$57.16	$66.98	$101.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $104.09 / $606.98	Professional		$104.09	$104.09	$606.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $104.09 / $1,556.26	Professional		$104.09	$104.09	$1,556.26
United Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $285.02 / $285.02	Facility		$285.02	$285.02	$285.02
United Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $171.02 / $755.93	Professional		$83.40	$171.02	$755.93