Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $362.85 / $539.44	Facility		$290.27	$362.85	$539.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $229.81 / $453.93	Professional		$186.26	$229.81	$453.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.09 / $628.94 / $665.23	Facility		$520.09	$628.94	$665.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $241.90 / $1,036.09	Professional		$119.46	$241.90	$1,036.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.68 / $711.59 / $711.59	Facility		$682.68	$711.59	$711.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.93 / $778.19 / $1,193.76	Facility		$665.93	$778.19	$1,193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $651.39 / $740.21	Professional		$277.95	$651.39	$740.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.26 / $290.27 / $846.65	Facility		$186.26	$290.27	$846.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.71 / $290.27 / $846.65	Facility		$217.71	$290.27	$846.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $179.18 / $870.84	Professional		$140.30	$179.18	$870.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $238.91	Professional		$50.00	$70.00	$238.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $186.26 / $290.27 / $846.65	Facility		$186.26	$290.27	$846.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.20 / $590.02 / $822.80	Professional		$486.20	$590.02	$822.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $483.80 / $1,149.03 / $1,149.03	Facility		$483.80	$1,149.03	$1,149.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $1,209.50 / $1,209.50	Professional		$275.70	$1,209.50	$1,209.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $515.14 / $515.14 / $515.14	Professional		$515.14	$515.14	$515.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $703.01 / $1,320.77 / $1,320.77	Professional		$703.01	$1,320.77	$1,320.77
United Facility/Professional Professional Modifier Low / Median / High Price $125.43 / $179.18 / $627.14	Professional		$125.43	$179.18	$627.14