Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.80 / $302.25 / $449.35	Facility		$241.80	$302.25	$449.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $241.80 / $283.81	Professional		$155.16	$241.80	$283.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.23 / $523.90 / $554.13	Facility		$433.23	$523.90	$554.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $201.50 / $866.45	Professional		$99.50	$201.50	$866.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.66 / $592.74 / $592.74	Facility		$568.66	$592.74	$592.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.19 / $647.61 / $993.46	Facility		$554.19	$647.61	$993.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.69 / $542.60 / $616.59	Professional		$231.69	$542.60	$616.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.16 / $241.80 / $705.25	Facility		$155.16	$241.80	$705.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $241.80 / $705.25	Facility		$181.35	$241.80	$705.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $164.94 / $725.40	Professional		$116.87	$164.94	$725.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $556.14	Professional		$50.00	$70.00	$556.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.16 / $241.80 / $705.25	Facility		$155.16	$241.80	$705.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $404.95 / $525.01 / $685.30	Professional		$404.95	$525.01	$685.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $435.80 / $957.13 / $957.13	Facility		$435.80	$957.13	$957.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.18 / $1,007.50 / $1,007.50	Professional		$292.18	$1,007.50	$1,007.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $207.30 / $207.30 / $429.10	Professional		$207.30	$207.30	$429.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $207.30 / $207.30 / $1,100.19	Professional		$207.30	$207.30	$1,100.19
United Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $161.19 / $487.09	Professional		$115.46	$161.19	$487.09