Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $390.75 / $580.91	Facility		$312.60	$390.75	$580.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $244.87 / $312.60	Professional		$208.40	$244.87	$312.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.08 / $677.30 / $716.38	Facility		$560.08	$677.30	$716.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $179.74 / $1,115.77	Professional		$104.20	$179.74	$1,115.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.23 / $636.64 / $661.67	Facility		$235.23	$636.64	$661.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.29 / $838.21 / $1,285.83	Facility		$717.29	$838.21	$1,285.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $701.47 / $797.13	Professional		$299.43	$701.47	$797.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $234.45 / $512.15	Facility		$130.25	$234.45	$512.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $244.87 / $1,237.38	Facility		$130.25	$244.87	$1,237.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $208.40 / $721.59	Professional		$130.25	$208.40	$721.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $260.50	Professional		$55.00	$70.00	$260.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $234.45 / $512.15	Facility		$130.25	$234.45	$512.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $620.90 / $870.85	Professional		$434.70	$620.90	$870.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $521.00 / $1,237.38	Facility		$521.00	$521.00	$1,237.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $1,302.50 / $1,302.50	Professional		$138.07	$1,302.50	$1,302.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $554.75 / $554.75 / $554.75	Professional		$554.75	$554.75	$554.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $757.07 / $1,422.33 / $1,422.33	Professional		$757.07	$1,422.33	$1,422.33
United Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $208.40 / $565.29	Facility		$208.40	$208.40	$565.29
United Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $156.30 / $547.04	Professional		$130.25	$156.30	$547.04