Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $253.13 / $376.31	Facility		$202.50	$253.13	$376.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $160.31 / $256.50	Professional		$129.94	$160.31	$256.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.81 / $438.75 / $464.06	Facility		$362.81	$438.75	$464.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $168.75 / $722.79	Professional		$67.50	$168.75	$722.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $412.41 / $412.41 / $428.63	Facility		$412.41	$412.41	$428.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.08 / $542.30 / $831.92	Facility		$464.08	$542.30	$831.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $454.41 / $516.38	Professional		$194.11	$454.41	$516.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.94 / $202.50 / $590.63	Facility		$129.94	$202.50	$590.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $202.50 / $590.63	Facility		$151.88	$202.50	$590.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $101.25 / $520.40	Professional		$84.38	$101.25	$520.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.94 / $202.50 / $590.63	Facility		$129.94	$202.50	$590.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $321.02 / $411.75 / $564.70	Professional		$321.02	$411.75	$564.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $337.50 / $801.56 / $801.56	Facility		$337.50	$801.56	$801.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.69 / $843.75 / $843.75	Professional		$244.69	$843.75	$843.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $359.36 / $359.36 / $359.36	Professional		$359.36	$359.36	$359.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $490.42 / $921.38 / $921.38	Professional		$490.42	$921.38	$921.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $101.25 / $354.38	Professional		$73.36	$101.25	$354.38