Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.96 / $271.24 / $783.53	Facility		$145.96	$271.24	$783.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $136.16 / $167.03	Professional		$93.66	$136.16	$167.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $316.24 / $334.48	Facility		$261.50	$316.24	$334.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $121.63 / $523.01	Professional		$60.06	$121.63	$523.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.27 / $330.27 / $343.26	Facility		$330.27	$330.27	$343.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.32 / $390.67 / $599.29	Facility		$334.32	$390.67	$599.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.59 / $327.52 / $372.19	Professional		$139.59	$327.52	$372.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.66 / $145.96 / $425.71	Facility		$93.66	$145.96	$425.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.47 / $155.69 / $598.80	Facility		$109.47	$155.69	$598.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $99.41 / $570.60	Professional		$72.73	$99.41	$570.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $98.08	Professional		$50.00	$70.00	$98.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.66 / $145.96 / $425.71	Facility		$93.66	$145.96	$425.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.40 / $316.92 / $413.60	Professional		$244.40	$316.92	$413.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $918.65 / $918.65 / $918.65	Facility		$918.65	$918.65	$918.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $608.15 / $608.15	Professional		$153.80	$608.15	$608.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $125.13 / $259.02	Professional		$125.13	$125.13	$259.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $412.14 / $664.10	Professional		$125.13	$412.14	$664.10
United Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $99.41 / $293.56	Professional		$69.59	$99.41	$293.56