Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $277.80 / $457.60	Facility		$222.24	$277.80	$457.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $222.24 / $800.00	Professional		$142.60	$222.24	$800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.18 / $481.52 / $509.30	Facility		$398.18	$481.52	$509.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $185.20 / $793.25	Professional		$74.08	$185.20	$793.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $275.07 / $490.33	Facility		$185.20	$275.07	$490.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $194.46 / $239.66	Professional		$185.20	$194.46	$239.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.03 / $596.02 / $914.30	Facility		$510.03	$596.02	$914.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $498.71 / $566.71	Professional		$213.11	$498.71	$566.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.60 / $222.24 / $648.20	Facility		$142.60	$222.24	$648.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $222.24 / $648.20	Facility		$166.68	$222.24	$648.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $111.12 / $571.13	Professional		$92.60	$111.12	$571.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $92.60	Professional		$50.00	$70.00	$92.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.60 / $222.24 / $648.20	Facility		$142.60	$222.24	$648.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $351.83 / $451.98 / $619.87	Professional		$351.83	$451.98	$619.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $516.99 / $879.70 / $879.70	Facility		$516.99	$879.70	$879.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.54 / $926.00 / $926.00	Professional		$268.54	$926.00	$926.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $394.39	Professional		$185.20	$185.20	$394.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $1,011.19	Professional		$185.20	$185.20	$1,011.19
United Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $111.12 / $344.73	Professional		$80.51	$111.12	$344.73