Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.90 / $231.90 / $430.95	Facility		$231.90	$231.90	$430.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $183.59 / $231.90	Professional		$148.80	$183.59	$231.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.49 / $502.45 / $531.44	Facility		$415.49	$502.45	$531.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $827.73	Professional		$77.30	$77.30	$827.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $490.86 / $490.86 / $490.86	Facility		$490.86	$490.86	$490.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $621.29 / $953.07	Facility		$531.66	$621.29	$953.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.78 / $520.39 / $591.35	Professional		$221.78	$520.39	$591.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $231.90 / $676.38	Facility		$148.80	$231.90	$676.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $231.90 / $676.38	Facility		$148.80	$231.90	$676.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $115.95 / $595.95	Professional		$96.63	$115.95	$595.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $193.25	Professional		$50.00	$70.00	$193.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $231.90 / $676.38	Facility		$148.80	$231.90	$676.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.98 / $460.47 / $645.83	Professional		$346.98	$460.47	$645.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $386.50 / $917.94 / $917.94	Facility		$386.50	$917.94	$917.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $773.00 / $962.39	Professional		$184.02	$773.00	$962.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $411.53	Professional		$193.25	$193.25	$411.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $561.58 / $1,055.15	Professional		$193.25	$561.58	$1,055.15
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $476.02	Professional		$81.17	$115.95	$476.02