Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.58 / $622.08 / $675.84	Facility		$315.58	$622.08	$675.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $234.06 / $315.58	Professional		$202.50	$234.06	$315.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.42 / $683.77 / $723.22	Facility		$565.42	$683.77	$723.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $105.20 / $1,126.44	Professional		$105.20	$105.20	$1,126.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $315.58 / $667.99	Facility		$262.99	$315.58	$667.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $276.14 / $340.04	Professional		$262.99	$276.14	$340.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.60 / $845.58 / $1,297.15	Facility		$723.60	$845.58	$1,297.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.32 / $708.18 / $804.75	Professional		$302.32	$708.18	$804.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $315.58 / $920.47	Facility		$202.50	$315.58	$920.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $315.58 / $920.47	Facility		$202.50	$315.58	$920.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $157.79 / $811.02	Professional		$131.50	$157.79	$811.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $210.39	Professional		$50.00	$70.00	$210.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $315.58 / $920.47	Facility		$202.50	$315.58	$920.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.52 / $627.07 / $879.50	Professional		$472.52	$627.07	$879.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $525.98 / $1,249.20 / $1,249.20	Facility		$525.98	$1,249.20	$1,249.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.46 / $1,051.96 / $1,309.69	Professional		$250.46	$1,051.96	$1,309.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $560.04	Professional		$262.99	$262.99	$560.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $1,435.93	Professional		$262.99	$262.99	$1,435.93
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.79 / $552.28	Professional		$110.46	$157.79	$552.28