Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $365.63 / $748.99	Facility		$196.75	$365.63	$748.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $154.12 / $225.16	Professional		$101.24	$154.12	$225.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.51 / $426.30 / $450.89	Facility		$352.51	$426.30	$450.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $163.96 / $705.03	Professional		$80.97	$163.96	$705.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $445.23 / $445.23 / $462.74	Facility		$445.23	$445.23	$462.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.46 / $527.57 / $809.30	Facility		$451.46	$527.57	$809.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.33 / $441.51 / $501.71	Professional		$188.33	$441.51	$501.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $196.75 / $573.86	Facility		$126.25	$196.75	$573.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $196.75 / $689.40	Facility		$147.56	$196.75	$689.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $134.21 / $624.23	Professional		$98.05	$134.21	$624.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $81.98 / $452.53	Professional		$50.00	$81.98	$452.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $196.75 / $573.86	Facility		$126.25	$196.75	$573.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $329.55 / $427.13 / $557.70	Professional		$329.55	$427.13	$557.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.63 / $778.81 / $778.81	Facility		$354.63	$778.81	$778.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $819.80 / $819.80	Professional		$237.74	$819.80	$819.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $168.68 / $349.16	Professional		$168.68	$168.68	$349.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $476.47 / $895.22	Professional		$168.68	$476.47	$895.22
United Facility/Professional Facility Modifier Low / Median / High Price $145.74 / $145.74 / $395.33	Facility		$145.74	$145.74	$395.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $133.88 / $454.17	Professional		$93.95	$133.88	$454.17