Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.95 / $529.04 / $709.92	Facility		$312.95	$529.04	$709.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.81 / $247.75 / $539.97	Professional		$200.81	$247.75	$539.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.70 / $678.05 / $717.17	Facility		$560.70	$678.05	$717.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $260.79 / $1,121.40	Professional		$128.78	$260.79	$1,121.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $708.14 / $708.14 / $735.99	Facility		$708.14	$708.14	$735.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.29 / $838.21 / $1,285.83	Facility		$717.29	$838.21	$1,285.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $702.25 / $798.01	Professional		$299.43	$702.25	$798.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $200.81 / $312.95 / $912.77	Facility		$200.81	$312.95	$912.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.71 / $312.95 / $912.77	Facility		$234.71	$312.95	$912.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.26 / $213.47 / $938.84	Professional		$151.26	$213.47	$938.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $260.79	Professional		$50.00	$70.00	$260.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $200.81 / $312.95 / $912.77	Facility		$200.81	$312.95	$912.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $523.90 / $679.71 / $886.60	Professional		$523.90	$679.71	$886.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $564.04 / $1,238.75 / $1,238.75	Facility		$564.04	$1,238.75	$1,238.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $378.15 / $1,303.95 / $1,303.95	Professional		$378.15	$1,303.95	$1,303.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $268.30 / $555.36	Professional		$268.30	$268.30	$555.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $883.69 / $1,423.91	Professional		$268.30	$883.69	$1,423.91
United Facility/Professional Professional Modifier Low / Median / High Price $149.43 / $208.63 / $630.40	Professional		$149.43	$208.63	$630.40