Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.77 / $248.77 / $462.30	Facility		$248.77	$248.77	$462.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $196.94 / $248.77	Professional		$159.63	$196.94	$248.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $539.01 / $570.10	Facility		$445.72	$539.01	$570.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $82.92 / $887.95	Professional		$82.92	$82.92	$887.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $526.57 / $526.57 / $526.57	Facility		$526.57	$526.57	$526.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.41 / $666.57 / $1,022.53	Facility		$570.41	$666.57	$1,022.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.30 / $558.24 / $634.36	Professional		$238.30	$558.24	$634.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $248.77 / $725.59	Facility		$159.63	$248.77	$725.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $248.77 / $725.59	Facility		$159.63	$248.77	$725.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $124.39 / $639.30	Professional		$103.66	$124.39	$639.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $165.85	Professional		$50.00	$70.00	$165.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $248.77 / $725.59	Facility		$159.63	$248.77	$725.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $372.55 / $494.40 / $693.43	Professional		$372.55	$494.40	$693.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $414.62 / $984.72 / $984.72	Facility		$414.62	$984.72	$984.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $197.31 / $829.24 / $1,032.40	Professional		$197.31	$829.24	$1,032.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $441.48	Professional		$207.31	$207.31	$441.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $602.49 / $1,131.91	Professional		$207.31	$602.49	$1,131.91
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $385.89	Professional		$87.07	$124.39	$385.89