Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.82 / $369.78 / $549.74	Facility		$295.82	$369.78	$549.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.82 / $234.19 / $375.09	Professional		$189.82	$234.19	$375.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.02 / $640.95 / $677.93	Facility		$530.02	$640.95	$677.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $246.52 / $1,055.90	Professional		$98.61	$246.52	$1,055.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.47 / $602.47 / $626.16	Facility		$602.47	$602.47	$626.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.54 / $792.93 / $1,216.38	Facility		$678.54	$792.93	$1,216.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $663.83 / $754.35	Professional		$283.32	$663.83	$754.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $189.82 / $295.82 / $862.82	Facility		$189.82	$295.82	$862.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.87 / $295.82 / $862.82	Facility		$221.87	$295.82	$862.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $149.10 / $760.23	Professional		$123.39	$149.10	$760.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $197.71	Professional		$50.00	$70.00	$197.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $189.82 / $295.82 / $862.82	Facility		$189.82	$295.82	$862.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $471.62 / $601.07 / $824.33	Professional		$471.62	$601.07	$824.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $493.04 / $1,170.97 / $1,170.97	Facility		$493.04	$1,170.97	$1,170.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.45 / $1,232.59 / $1,232.59	Professional		$357.45	$1,232.59	$1,232.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $186.38 / $524.98	Professional		$186.38	$186.38	$524.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $716.44 / $1,346.00	Professional		$186.38	$716.44	$1,346.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $148.28 / $458.87	Professional		$110.93	$148.28	$458.87