Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.54 / $321.93 / $478.60	Facility		$257.54	$321.93	$478.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $203.89 / $333.03	Professional		$165.26	$203.89	$333.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.43 / $558.01 / $590.21	Facility		$461.43	$558.01	$590.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $214.62 / $919.25	Professional		$85.85	$214.62	$919.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.51 / $524.51 / $545.13	Facility		$524.51	$524.51	$545.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.23 / $689.73 / $1,058.07	Facility		$590.23	$689.73	$1,058.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $577.92 / $656.74	Professional		$246.56	$577.92	$656.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.26 / $257.54 / $751.17	Facility		$165.26	$257.54	$751.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.16 / $257.54 / $751.17	Facility		$193.16	$257.54	$751.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $137.41 / $661.86	Professional		$109.72	$137.41	$661.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $175.54	Professional		$50.00	$70.00	$175.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $165.26 / $257.54 / $751.17	Facility		$165.26	$257.54	$751.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $418.91 / $523.76 / $718.32	Professional		$418.91	$523.76	$718.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $429.24 / $1,019.45 / $1,019.45	Facility		$429.24	$1,019.45	$1,019.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $1,073.09 / $1,073.09	Professional		$311.20	$1,073.09	$1,073.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $165.47 / $457.04	Professional		$165.47	$165.47	$457.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $623.73 / $1,171.83	Professional		$165.47	$623.73	$1,171.83
United Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $214.62 / $214.62	Facility		$214.62	$214.62	$214.62
United Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $131.66 / $399.49	Professional		$93.30	$131.66	$399.49