Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.28 / $259.10 / $385.19	Facility		$207.28	$259.10	$385.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $164.09 / $309.18	Professional		$133.00	$164.09	$309.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.37 / $449.10 / $475.01	Facility		$371.37	$449.10	$475.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $172.73 / $739.84	Professional		$73.73	$172.73	$739.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.14 / $422.14 / $438.73	Facility		$422.14	$422.14	$438.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.79 / $556.00 / $852.92	Facility		$475.79	$556.00	$852.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $465.12 / $528.54	Professional		$198.65	$465.12	$528.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $207.28 / $604.55	Facility		$133.00	$207.28	$604.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.46 / $207.28 / $604.55	Facility		$155.46	$207.28	$604.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $122.23 / $568.51	Professional		$92.96	$122.23	$568.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $162.97	Professional		$50.00	$70.00	$162.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $207.28 / $604.55	Facility		$133.00	$207.28	$604.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.10 / $421.22 / $587.40	Professional		$347.10	$421.22	$587.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $345.46 / $820.47 / $820.47	Facility		$345.46	$820.47	$820.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.46 / $863.65 / $863.65	Professional		$250.46	$863.65	$863.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $153.62 / $367.84	Professional		$153.62	$153.62	$367.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $501.95 / $943.11	Professional		$153.62	$501.95	$943.11
United Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $122.23 / $427.81	Professional		$92.96	$122.23	$427.81