Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.40 / $225.50 / $1,666.56	Facility		$180.40	$225.50	$1,666.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $170.89 / $180.40	Professional		$115.75	$170.89	$180.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.20 / $390.86 / $413.41	Facility		$323.20	$390.86	$413.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $60.13 / $643.89	Professional		$60.13	$60.13	$643.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.84 / $381.84 / $381.84	Facility		$381.84	$381.84	$381.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $483.34 / $741.46	Facility		$413.61	$483.34	$741.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $404.81 / $460.01	Professional		$173.05	$404.81	$460.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.75 / $180.40 / $526.16	Facility		$115.75	$180.40	$526.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.75 / $180.40 / $526.16	Facility		$115.75	$180.40	$526.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $90.20 / $463.60	Professional		$75.17	$90.20	$463.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $150.33	Professional		$50.00	$70.00	$150.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $115.75 / $180.40 / $526.16	Facility		$115.75	$180.40	$526.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $358.65 / $503.04	Professional		$270.26	$358.65	$503.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $883.04 / $883.04 / $883.04	Facility		$883.04	$883.04	$883.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $601.32 / $748.64	Professional		$143.16	$601.32	$748.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $320.13	Professional		$150.33	$150.33	$320.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $436.86 / $820.80	Professional		$150.33	$436.86	$820.80
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $96.26 / $279.82	Professional		$65.34	$96.26	$279.82