Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $266.33 / $395.96	Facility		$213.07	$266.33	$395.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $166.91 / $213.07	Professional		$145.60	$166.91	$213.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.75 / $461.66 / $488.29	Facility		$381.75	$461.66	$488.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $71.02 / $724.31	Professional		$71.02	$71.02	$724.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.34 / $433.94 / $451.00	Facility		$160.34	$433.94	$451.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.41 / $570.74 / $875.53	Facility		$488.41	$570.74	$875.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.02 / $478.14 / $543.34	Professional		$204.02	$478.14	$543.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $88.78 / $213.07	Facility		$88.78	$88.78	$213.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $145.60 / $843.41	Facility		$88.78	$145.60	$843.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $177.56 / $372.88	Professional		$102.98	$177.56	$372.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $87.89 / $266.33	Professional		$55.00	$87.89	$266.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $88.78 / $213.07	Facility		$88.78	$88.78	$213.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.62 / $423.44 / $593.91	Professional		$208.62	$423.44	$593.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $355.12 / $355.12 / $843.41	Facility		$355.12	$355.12	$843.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Professional		$81.00	$81.00	$81.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $134.10 / $378.12	Professional		$134.10	$134.10	$378.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $159.80 / $969.48	Professional		$134.10	$159.80	$969.48
United Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $142.05 / $330.51	Professional		$88.78	$142.05	$330.51