Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.61 / $248.27 / $405.68	Facility		$198.61	$248.27	$405.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $157.22 / $251.83	Professional		$127.44	$157.22	$251.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.85 / $430.33 / $455.15	Facility		$355.85	$430.33	$455.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $165.51 / $708.91	Professional		$66.20	$165.51	$708.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.50 / $404.50 / $420.40	Facility		$404.50	$404.50	$420.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.07 / $531.78 / $815.76	Facility		$455.07	$531.78	$815.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $445.69 / $506.46	Professional		$190.39	$445.69	$506.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $198.61 / $579.29	Facility		$127.44	$198.61	$579.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $198.61 / $579.29	Facility		$148.96	$198.61	$579.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $100.10 / $510.41	Professional		$82.84	$100.10	$510.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $165.51	Professional		$50.00	$70.00	$165.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $198.61 / $579.29	Facility		$127.44	$198.61	$579.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.92 / $403.87 / $553.88	Professional		$316.92	$403.87	$553.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.02 / $786.17 / $786.17	Facility		$331.02	$786.17	$786.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.99 / $827.55 / $827.55	Professional		$239.99	$827.55	$827.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $125.13 / $352.46	Professional		$125.13	$125.13	$352.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $412.14 / $903.68	Professional		$125.13	$412.14	$903.68
United Facility/Professional Facility Modifier Low / Median / High Price $198.61 / $198.61 / $198.61	Facility		$198.61	$198.61	$198.61
United Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $99.55 / $308.08	Professional		$74.48	$99.55	$308.08