Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $439.88 / $609.86	Facility		$279.68	$439.88	$609.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.46 / $221.42 / $445.27	Professional		$179.46	$221.42	$445.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.10 / $605.98 / $640.94	Facility		$501.10	$605.98	$640.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $233.07 / $998.28	Professional		$106.20	$233.07	$998.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $583.94 / $583.94 / $606.91	Facility		$583.94	$583.94	$606.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.60 / $749.76 / $1,150.15	Facility		$641.60	$749.76	$1,150.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.04 / $627.62 / $713.20	Professional		$268.04	$627.62	$713.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $279.68 / $815.75	Facility		$179.46	$279.68	$815.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.76 / $279.68 / $815.75	Facility		$209.76	$279.68	$815.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $176.03 / $818.73	Professional		$128.60	$176.03	$818.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $233.07	Professional		$50.00	$70.00	$233.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $279.68 / $815.75	Facility		$179.46	$279.68	$815.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $468.65 / $568.72 / $793.10	Professional		$468.65	$568.72	$793.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $466.14 / $1,107.08 / $1,107.08	Facility		$466.14	$1,107.08	$1,107.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $337.95 / $1,165.34 / $1,165.34	Professional		$337.95	$1,165.34	$1,165.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $221.24 / $496.33	Professional		$221.24	$221.24	$496.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $677.30 / $1,272.56	Professional		$221.24	$677.30	$1,272.56
United Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $176.03 / $482.87	Professional		$123.22	$176.03	$482.87