Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.94 / $376.17 / $559.24	Facility		$300.94	$376.17	$559.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.64 / $235.73 / $300.94	Professional		$205.64	$235.73	$300.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.17 / $652.03 / $689.65	Facility		$539.17	$652.03	$689.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $121.34 / $1,037.59	Professional		$121.34	$121.34	$1,037.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.89 / $667.18 / $693.42	Facility		$204.89	$667.18	$693.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.26 / $806.62 / $1,237.38	Facility		$690.26	$806.62	$1,237.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $675.30 / $767.39	Professional		$288.27	$675.30	$767.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $205.64 / $501.56	Facility		$132.91	$205.64	$501.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $235.73 / $1,191.21	Facility		$132.91	$235.73	$1,191.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $212.34 / $546.01	Professional		$127.40	$212.34	$546.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $124.14 / $376.17	Professional		$55.00	$124.14	$376.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $205.64 / $501.56	Facility		$132.91	$205.64	$501.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.30 / $613.79 / $852.50	Professional		$300.30	$613.79	$852.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.56 / $501.56 / $1,191.21	Facility		$501.56	$501.56	$1,191.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $132.91 / $132.91	Professional		$132.91	$132.91	$132.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $252.78 / $534.04	Professional		$252.78	$252.78	$534.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $252.78 / $1,369.26	Professional		$252.78	$252.78	$1,369.26
United Facility/Professional Professional Modifier Low / Median / High Price $125.39 / $200.82 / $546.01	Professional		$125.39	$200.82	$546.01