Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.59 / $296.99 / $441.52	Facility		$237.59	$296.99	$441.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $237.59 / $969.00	Professional		$152.44	$237.59	$969.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.68 / $514.77 / $544.47	Facility		$425.68	$514.77	$544.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $197.99 / $851.36	Professional		$97.77	$197.99	$851.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.63 / $537.63 / $558.77	Facility		$537.63	$537.63	$558.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.17 / $637.08 / $977.30	Facility		$545.17	$637.08	$977.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.56 / $533.15 / $605.85	Professional		$227.56	$533.15	$605.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $237.59 / $692.97	Facility		$152.44	$237.59	$692.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.19 / $237.59 / $692.97	Facility		$178.19	$237.59	$692.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $162.07 / $712.76	Professional		$114.83	$162.07	$712.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $197.99	Professional		$50.00	$70.00	$197.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $237.59 / $692.97	Facility		$152.44	$237.59	$692.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $397.80 / $516.11 / $673.20	Professional		$397.80	$516.11	$673.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $428.23 / $940.45 / $940.45	Facility		$428.23	$940.45	$940.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $989.95 / $989.95	Professional		$287.08	$989.95	$989.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $203.69 / $421.63	Professional		$203.69	$203.69	$421.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $670.91 / $1,081.03	Professional		$203.69	$670.91	$1,081.03
United Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $158.38 / $542.59	Professional		$113.45	$158.38	$542.59