Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.96 / $163.69 / $243.36	Facility		$130.96	$163.69	$243.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $103.67 / $225.96	Professional		$84.03	$103.67	$225.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.63 / $283.74 / $300.11	Facility		$234.63	$283.74	$300.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $109.13 / $469.26	Professional		$53.89	$109.13	$469.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $296.35 / $308.00	Facility		$296.35	$296.35	$308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.07 / $350.66 / $537.91	Facility		$300.07	$350.66	$537.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $293.87 / $333.94	Professional		$125.14	$293.87	$333.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.03 / $130.96 / $381.96	Facility		$84.03	$130.96	$381.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $130.96 / $381.96	Facility		$98.22	$130.96	$381.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $89.33 / $392.87	Professional		$63.30	$89.33	$392.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $109.13	Professional		$50.00	$70.00	$109.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.03 / $130.96 / $381.96	Facility		$84.03	$130.96	$381.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $284.07 / $370.70	Professional		$219.05	$284.07	$370.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $291.41 / $518.37 / $518.37	Facility		$291.41	$518.37	$518.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $545.65 / $545.65	Professional		$158.24	$545.65	$545.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $112.28 / $232.40	Professional		$112.28	$112.28	$232.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $369.80 / $595.85	Professional		$112.28	$369.80	$595.85
United Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $87.30 / $263.80	Professional		$62.53	$87.30	$263.80