Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $191.15 / $284.17	Facility		$152.91	$191.15	$284.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $121.06 / $230.58	Professional		$98.12	$121.06	$230.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.97 / $331.32 / $350.43	Facility		$273.97	$331.32	$350.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $127.43 / $545.79	Professional		$54.99	$127.43	$545.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $311.43 / $311.43 / $323.67	Facility		$311.43	$311.43	$323.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.54 / $409.63 / $628.38	Facility		$350.54	$409.63	$628.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $343.15 / $389.94	Professional		$146.62	$343.15	$389.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.12 / $152.91 / $446.01	Facility		$98.12	$152.91	$446.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.69 / $152.91 / $446.01	Facility		$114.69	$152.91	$446.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $91.16 / $423.97	Professional		$68.58	$91.16	$423.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $351.71	Professional		$50.00	$70.00	$351.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.12 / $152.91 / $446.01	Facility		$98.12	$152.91	$446.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $310.79 / $433.40	Professional		$256.10	$310.79	$433.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $297.36 / $605.29 / $605.29	Facility		$297.36	$605.29	$605.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $637.15 / $637.15	Professional		$184.77	$637.15	$637.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $114.57 / $271.37	Professional		$114.57	$114.57	$271.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $377.36 / $695.77	Professional		$114.57	$377.36	$695.77
United Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $91.16 / $319.05	Professional		$63.81	$91.16	$319.05