Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.96 / $319.95 / $475.66	Facility		$255.96	$319.95	$475.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $202.64 / $319.95	Professional		$164.24	$202.64	$319.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.60 / $554.58 / $586.58	Facility		$458.60	$554.58	$586.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $151.33 / $913.60	Professional		$85.32	$151.33	$913.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.78 / $564.72 / $564.72	Facility		$541.78	$564.72	$564.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.63 / $685.52 / $1,051.60	Facility		$586.63	$685.52	$1,051.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $574.38 / $652.70	Professional		$244.91	$574.38	$652.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.24 / $255.96 / $746.55	Facility		$164.24	$255.96	$746.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.97 / $255.96 / $746.55	Facility		$191.97	$255.96	$746.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $127.98 / $657.79	Professional		$89.59	$127.98	$657.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $151.33	Professional		$50.00	$70.00	$151.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.24 / $255.96 / $746.55	Facility		$164.24	$255.96	$746.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $508.29 / $712.91	Professional		$289.54	$508.29	$712.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.60 / $1,013.18 / $1,013.18	Facility		$426.60	$1,013.18	$1,013.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.29 / $1,066.50 / $1,066.50	Professional		$309.29	$1,066.50	$1,066.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $114.41 / $454.23	Professional		$114.41	$114.41	$454.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $443.31 / $1,164.61	Professional		$114.41	$443.31	$1,164.61
United Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $127.98 / $330.62	Professional		$89.59	$127.98	$330.62