Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $217.26 / $322.99	Facility		$143.04	$217.26	$322.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $136.15 / $173.81	Professional		$107.91	$136.15	$173.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.41 / $376.58 / $398.31	Facility		$311.41	$376.58	$398.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $144.84 / $622.80	Professional		$71.52	$144.84	$622.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.30 / $393.30 / $408.76	Facility		$393.30	$393.30	$408.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.30 / $465.44 / $714.00	Facility		$398.30	$465.44	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $390.03 / $443.21	Professional		$166.44	$390.03	$443.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.53 / $173.81 / $506.94	Facility		$111.53	$173.81	$506.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.36 / $173.81 / $506.94	Facility		$130.36	$173.81	$506.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $118.55 / $521.41	Professional		$86.61	$118.55	$521.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $144.84	Professional		$50.00	$70.00	$144.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $111.53 / $173.81 / $506.94	Facility		$111.53	$173.81	$506.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $291.20 / $377.16 / $492.80	Professional		$291.20	$377.16	$492.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $313.26 / $687.99 / $687.99	Facility		$313.26	$687.99	$687.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $724.20 / $724.20	Professional		$210.02	$724.20	$724.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $149.01 / $308.44	Professional		$149.01	$149.01	$308.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $490.80 / $790.83	Professional		$149.01	$490.80	$790.83
United Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $115.87 / $350.10	Professional		$82.99	$115.87	$350.10