Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.60 / $357.00 / $530.74	Facility		$285.60	$357.00	$530.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $226.10 / $357.00	Professional		$183.26	$226.10	$357.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.70 / $618.79 / $654.50	Facility		$511.70	$618.79	$654.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $161.28 / $980.30	Professional		$95.20	$161.28	$980.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $581.65 / $581.65 / $604.52	Facility		$581.65	$581.65	$604.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.11 / $765.55 / $1,174.38	Facility		$655.11	$765.55	$1,174.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.41 / $640.88 / $728.28	Professional		$273.41	$640.88	$728.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $285.60 / $833.00	Facility		$183.26	$285.60	$833.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.20 / $285.60 / $833.00	Facility		$214.20	$285.60	$833.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $142.80 / $733.96	Professional		$96.77	$142.80	$733.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $129.34	Professional		$50.00	$70.00	$129.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $285.60 / $833.00	Facility		$183.26	$285.60	$833.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $308.70 / $567.67 / $796.20	Professional		$308.70	$567.67	$796.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $476.00 / $1,130.50 / $1,130.50	Facility		$476.00	$1,130.50	$1,130.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $345.10 / $1,190.00 / $1,190.00	Professional		$345.10	$1,190.00	$1,190.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $121.93 / $506.83	Professional		$121.93	$121.93	$506.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $121.93 / $1,299.48	Professional		$121.93	$121.93	$1,299.48
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $142.80 / $443.01	Professional		$97.01	$142.80	$443.01