Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.06 / $382.58 / $568.76	Facility		$306.06	$382.58	$568.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.39 / $242.30 / $395.60	Professional		$196.39	$242.30	$395.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.36 / $663.13 / $701.39	Facility		$548.36	$663.13	$701.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $255.05 / $1,092.43	Professional		$102.02	$255.05	$1,092.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $623.32 / $623.32 / $647.83	Facility		$623.32	$623.32	$647.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.97 / $820.31 / $1,258.38	Facility		$701.97	$820.31	$1,258.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $686.80 / $780.45	Professional		$292.82	$686.80	$780.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $196.39 / $306.06 / $892.68	Facility		$196.39	$306.06	$892.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.55 / $306.06 / $892.68	Facility		$229.55	$306.06	$892.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $157.25 / $786.54	Professional		$106.58	$157.25	$786.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $127.53	Professional		$50.00	$70.00	$127.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $196.39 / $306.06 / $892.68	Facility		$196.39	$306.06	$892.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $497.63 / $621.57 / $852.46	Professional		$497.63	$621.57	$852.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $625.42 / $1,211.49 / $1,211.49	Facility		$625.42	$1,211.49	$1,211.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $369.82 / $1,275.25 / $1,275.25	Professional		$369.82	$1,275.25	$1,275.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $196.56 / $543.14	Professional		$196.56	$196.56	$543.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $196.56 / $1,392.57	Professional		$196.56	$196.56	$1,392.57
United Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $153.03 / $459.09	Professional		$107.12	$153.03	$459.09