Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.20 / $305.97 / $342.31	Facility		$184.20	$305.97	$342.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $157.34 / $184.20	Professional		$125.87	$157.34	$184.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.03 / $399.10 / $422.13	Facility		$330.03	$399.10	$422.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $61.40 / $626.16	Professional		$61.40	$61.40	$626.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.61 / $375.14 / $389.89	Facility		$138.61	$375.14	$389.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.63 / $493.87 / $757.61	Facility		$422.63	$493.87	$757.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $413.35 / $469.71	Professional		$176.76	$413.35	$469.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $122.80 / $184.20	Facility		$76.75	$122.80	$184.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $144.29 / $729.13	Facility		$76.75	$144.29	$729.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $153.50 / $322.35	Professional		$89.03	$153.50	$322.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $423.66	Professional		$55.00	$85.00	$423.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $122.80 / $184.20	Facility		$76.75	$122.80	$184.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $366.37 / $513.86	Professional		$180.50	$366.37	$513.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $307.00 / $307.00 / $729.13	Facility		$307.00	$307.00	$729.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $81.36 / $81.36	Professional		$81.36	$81.36	$81.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $326.88 / $326.88 / $326.88	Professional		$326.88	$326.88	$326.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.10 / $838.11 / $838.11	Professional		$446.10	$838.11	$838.11
United Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $122.80 / $322.35	Professional		$76.75	$122.80	$322.35