Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.80 / $418.50 / $622.16	Facility		$334.80	$418.50	$622.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $262.26 / $334.80	Professional		$139.50	$262.26	$334.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.85 / $725.40 / $767.25	Facility		$599.85	$725.40	$767.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $140.13 / $1,138.11	Professional		$111.60	$140.13	$1,138.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $414.39 / $708.66	Facility		$279.00	$414.39	$708.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $292.95 / $360.95	Professional		$279.00	$292.95	$360.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.75 / $897.18 / $1,376.30	Facility		$767.75	$897.18	$1,376.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $751.29 / $853.74	Professional		$320.89	$751.29	$853.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $214.83 / $334.80 / $976.50	Facility		$214.83	$334.80	$976.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.10 / $334.80 / $976.50	Facility		$251.10	$334.80	$976.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $167.40 / $860.39	Professional		$74.09	$167.40	$860.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $770.04	Professional		$50.00	$70.00	$770.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $214.83 / $334.80 / $976.50	Facility		$214.83	$334.80	$976.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.64 / $665.63 / $933.59	Professional		$267.64	$665.63	$933.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $1,325.25 / $1,325.25	Facility		$558.00	$1,325.25	$1,325.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $404.55 / $1,395.00 / $1,395.00	Professional		$404.55	$1,395.00	$1,395.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $105.84 / $594.14	Professional		$105.84	$105.84	$594.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $105.84 / $1,523.34	Professional		$105.84	$105.84	$1,523.34
United Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $167.40 / $502.20	Professional		$76.43	$167.40	$502.20