Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.79 / $302.97 / $479.70	Facility		$203.79	$302.97	$479.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $127.71 / $534.11	Professional		$98.21	$127.71	$534.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.10 / $353.24 / $373.62	Facility		$292.10	$353.24	$373.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $562.12	Professional		$67.09	$67.09	$562.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $368.93 / $383.44	Facility		$86.99	$368.93	$383.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.96 / $437.01 / $670.38	Facility		$373.96	$437.01	$670.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $365.85 / $415.74	Professional		$156.11	$365.85	$415.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.37 / $122.27 / $248.62	Facility		$65.37	$122.27	$248.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $135.86 / $645.34	Facility		$100.86	$135.86	$645.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $114.71 / $308.14	Professional		$67.93	$114.71	$308.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $203.79	Professional		$55.00	$85.00	$203.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.37 / $122.27 / $248.62	Facility		$65.37	$122.27	$248.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.06 / $332.64 / $462.00	Professional		$166.06	$332.64	$462.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $271.72 / $323.83 / $645.34	Facility		$271.72	$323.83	$645.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $45.30 / $89.66	Professional		$45.30	$45.30	$89.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $139.78 / $289.32	Professional		$139.78	$139.78	$289.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $394.84 / $741.80	Professional		$139.78	$394.84	$741.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $111.82 / $301.91	Professional		$67.93	$111.82	$301.91