Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.14 / $277.68 / $412.82	Facility		$222.14	$277.68	$412.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.54 / $175.86 / $281.38	Professional		$142.54	$175.86	$281.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.01 / $481.31 / $509.08	Facility		$398.01	$481.31	$509.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $185.12 / $792.90	Professional		$74.05	$185.12	$792.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $470.20 / $490.11 / $490.11	Facility		$470.20	$490.11	$490.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.13 / $594.96 / $912.69	Facility		$509.13	$594.96	$912.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $498.49 / $566.46	Professional		$212.70	$498.49	$566.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $222.14 / $647.91	Facility		$142.54	$222.14	$647.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.61 / $222.14 / $647.91	Facility		$166.61	$222.14	$647.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $111.07 / $570.88	Professional		$92.56	$111.07	$570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $185.12	Professional		$50.00	$70.00	$185.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $222.14 / $647.91	Facility		$142.54	$222.14	$647.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $351.83 / $451.19 / $618.79	Professional		$351.83	$451.19	$618.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $370.24 / $879.32 / $879.32	Facility		$370.24	$879.32	$879.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $925.60 / $925.60	Professional		$268.42	$925.60	$925.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $185.12 / $394.22	Professional		$185.12	$185.12	$394.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $185.12 / $1,010.76	Professional		$185.12	$185.12	$1,010.76
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $344.58	Professional		$77.75	$111.07	$344.58