Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.78 / $428.87 / $524.52	Facility		$230.78	$428.87	$524.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $182.70 / $288.48	Professional		$148.09	$182.70	$288.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.49 / $500.03 / $528.88	Facility		$413.49	$500.03	$528.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $159.63 / $823.74	Professional		$76.93	$159.63	$823.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $470.01 / $470.01 / $488.49	Facility		$470.01	$470.01	$488.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.96 / $618.13 / $948.23	Facility		$528.96	$618.13	$948.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $517.88 / $588.50	Professional		$221.37	$517.88	$588.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $148.09 / $230.78 / $673.12	Facility		$148.09	$230.78	$673.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $230.78 / $673.12	Facility		$173.09	$230.78	$673.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $115.39 / $593.09	Professional		$87.86	$115.39	$593.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $159.63	Professional		$50.00	$70.00	$159.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $148.09 / $230.78 / $673.12	Facility		$148.09	$230.78	$673.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.29 / $469.34 / $643.66	Professional		$305.29	$469.34	$643.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $384.64 / $913.52 / $913.52	Facility		$384.64	$913.52	$913.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.86 / $961.60 / $961.60	Professional		$278.86	$961.60	$961.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $120.57 / $409.55	Professional		$120.57	$120.57	$409.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $120.57 / $1,050.07	Professional		$120.57	$120.57	$1,050.07
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $115.39 / $445.30	Professional		$80.77	$115.39	$445.30