Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $272.55 / $968.37	Facility		$146.66	$272.55	$968.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $146.66 / $318.75	Professional		$94.11	$146.66	$318.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $317.77 / $336.11	Facility		$262.77	$317.77	$336.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $122.22 / $525.54	Professional		$60.36	$122.22	$525.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.88 / $331.88 / $344.93	Facility		$331.88	$331.88	$344.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.12 / $392.78 / $602.53	Facility		$336.12	$392.78	$602.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $329.11 / $373.99	Professional		$140.41	$329.11	$373.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.11 / $146.66 / $427.77	Facility		$94.11	$146.66	$427.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $146.66 / $427.77	Facility		$110.00	$146.66	$427.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $100.04 / $465.32	Professional		$73.09	$100.04	$465.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $122.22	Professional		$50.00	$70.00	$122.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.11 / $146.66 / $427.77	Facility		$94.11	$146.66	$427.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $318.29 / $415.80	Professional		$245.70	$318.29	$415.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $244.44 / $580.54 / $580.54	Facility		$244.44	$580.54	$580.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.22 / $611.10 / $611.10	Professional		$177.22	$611.10	$611.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $125.75 / $260.27	Professional		$125.75	$125.75	$260.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $125.75 / $667.32	Professional		$125.75	$125.75	$667.32
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $97.78 / $295.44	Professional		$70.03	$97.78	$295.44