Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.88 / $254.85 / $378.88	Facility		$203.88	$254.85	$378.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $168.70 / $233.32	Professional		$101.15	$168.70	$233.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.29 / $441.74 / $467.23	Facility		$365.29	$441.74	$467.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $128.71 / $727.71	Professional		$67.95	$128.71	$727.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $252.35 / $431.55	Facility		$169.90	$252.35	$431.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $178.40 / $219.57	Professional		$169.90	$178.40	$219.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.68 / $546.52 / $838.38	Facility		$467.68	$546.52	$838.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.35 / $457.51 / $519.90	Professional		$195.35	$457.51	$519.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $130.82 / $203.88 / $594.65	Facility		$130.82	$203.88	$594.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $203.88 / $594.65	Facility		$152.91	$203.88	$594.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $101.94 / $540.00	Professional		$71.36	$101.94	$540.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $103.22	Professional		$50.00	$70.00	$103.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $130.82 / $203.88 / $594.65	Facility		$130.82	$203.88	$594.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.42 / $404.93 / $567.95	Professional		$246.42	$404.93	$567.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $339.80 / $807.03 / $807.03	Facility		$339.80	$807.03	$807.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.36 / $849.50 / $849.50	Professional		$246.36	$849.50	$849.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $97.31 / $361.81	Professional		$97.31	$97.31	$361.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $377.05 / $927.65	Professional		$97.31	$377.05	$927.65
United Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $101.94 / $316.25	Professional		$71.36	$101.94	$316.25