Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.90 / $289.88 / $430.95	Facility		$231.90	$289.88	$430.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $183.59 / $293.74	Professional		$148.80	$183.59	$293.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.49 / $502.45 / $531.44	Facility		$415.49	$502.45	$531.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $193.25 / $827.73	Professional		$77.30	$193.25	$827.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $472.29 / $472.29 / $490.86	Facility		$472.29	$472.29	$490.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $621.29 / $953.07	Facility		$531.66	$621.29	$953.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.78 / $520.39 / $591.35	Professional		$221.78	$520.39	$591.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $231.90 / $676.38	Facility		$148.80	$231.90	$676.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $231.90 / $676.38	Facility		$173.93	$231.90	$676.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $115.95 / $595.95	Professional		$96.63	$115.95	$595.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $154.60	Professional		$50.00	$70.00	$154.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $231.90 / $676.38	Facility		$148.80	$231.90	$676.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $367.58 / $470.91 / $645.83	Professional		$367.58	$470.91	$645.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $386.50 / $917.94 / $917.94	Facility		$386.50	$917.94	$917.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $966.25 / $966.25	Professional		$178.38	$966.25	$966.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $411.53 / $411.53 / $411.53	Professional		$411.53	$411.53	$411.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $561.63 / $1,055.15 / $1,055.15	Professional		$561.63	$1,055.15	$1,055.15
United Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $115.95 / $405.83	Professional		$84.01	$115.95	$405.83