Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.07 / $536.34 / $797.36	Facility		$429.07	$536.34	$797.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $339.68 / $1,405.66	Professional		$293.20	$339.68	$1,405.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $768.75 / $929.66 / $983.29	Facility		$768.75	$929.66	$983.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $176.57 / $1,479.40	Professional		$176.57	$176.57	$1,479.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $287.00 / $970.94 / $1,009.12	Facility		$287.00	$970.94	$1,009.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.02 / $1,149.91 / $1,763.99	Facility		$984.02	$1,149.91	$1,763.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $962.84 / $1,094.14	Professional		$410.94	$962.84	$1,094.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $429.07	Facility		$189.51	$189.51	$429.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $293.20 / $1,698.41	Facility		$189.51	$293.20	$1,698.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $357.56 / $990.44	Professional		$214.54	$357.56	$990.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $176.99 / $536.34	Professional		$55.00	$176.99	$536.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $429.07	Facility		$189.51	$189.51	$429.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $437.02 / $875.16 / $1,215.50	Professional		$437.02	$875.16	$1,215.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $715.12 / $715.12 / $1,698.41	Facility		$715.12	$715.12	$1,698.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $189.51 / $235.98	Professional		$189.51	$189.51	$235.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $367.86 / $367.86 / $761.44	Professional		$367.86	$367.86	$761.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $367.86 / $1,425.44 / $1,952.28	Professional		$367.86	$1,425.44	$1,952.28
United Facility/Professional Professional Modifier Low / Median / High Price $207.38 / $357.56 / $1,032.13	Professional		$207.38	$357.56	$1,032.13