Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $284.27 / $422.61	Facility		$227.41	$284.27	$422.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.40 / $180.03 / $227.41	Professional		$155.40	$180.03	$227.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.45 / $492.73 / $521.15	Facility		$407.45	$492.73	$521.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $75.80 / $758.04	Professional		$75.80	$75.80	$758.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $463.15 / $481.36	Facility		$123.27	$463.15	$481.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.75 / $609.70 / $935.30	Facility		$521.75	$609.70	$935.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.65 / $272.06 / $579.90	Professional		$217.65	$272.06	$579.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.76 / $94.76 / $227.41	Facility		$94.76	$94.76	$227.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.76 / $155.40 / $900.17	Facility		$94.76	$155.40	$900.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $113.71 / $341.12	Professional		$43.04	$113.71	$341.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $93.81 / $189.51	Professional		$55.00	$93.81	$189.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.76 / $94.76 / $227.41	Facility		$94.76	$94.76	$227.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.66 / $451.98 / $633.92	Professional		$190.66	$451.98	$633.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $379.02 / $379.02 / $900.17	Facility		$379.02	$379.02	$900.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $34.96 / $51.23	Professional		$34.46	$34.96	$51.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $53.80 / $403.57	Professional		$53.80	$53.80	$403.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $208.46 / $1,034.72	Professional		$53.80	$208.46	$1,034.72
United Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $113.71 / $524.94	Professional		$43.83	$113.71	$524.94