Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.77 / $439.88 / $679.73	Facility		$365.77	$439.88	$679.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $289.57 / $463.31	Professional		$234.70	$289.57	$463.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.34 / $792.51 / $838.23	Facility		$655.34	$792.51	$838.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $304.81 / $1,305.57	Professional		$121.92	$304.81	$1,305.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.93 / $744.93 / $774.22	Facility		$744.93	$744.93	$774.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.94 / $980.37 / $1,503.91	Facility		$838.94	$980.37	$1,503.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.22 / $820.79 / $932.71	Professional		$350.22	$820.79	$932.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.70 / $365.77 / $1,066.83	Facility		$234.70	$365.77	$1,066.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.33 / $365.77 / $1,066.83	Facility		$274.33	$365.77	$1,066.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $182.89 / $939.99	Professional		$152.41	$182.89	$939.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $152.41	Professional		$50.00	$70.00	$152.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $234.70 / $365.77 / $1,066.83	Facility		$234.70	$365.77	$1,066.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $579.77 / $743.05 / $1,019.06	Professional		$579.77	$743.05	$1,019.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $609.62 / $1,447.85 / $1,447.85	Facility		$609.62	$1,447.85	$1,447.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $441.97 / $1,524.05 / $1,524.05	Professional		$441.97	$1,524.05	$1,524.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $649.11 / $649.11 / $649.11	Professional		$649.11	$649.11	$649.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $885.84 / $1,664.26 / $1,664.26	Professional		$885.84	$1,664.26	$1,664.26
United Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $182.89 / $567.37	Professional		$137.16	$182.89	$567.37