Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.55 / $484.44 / $720.20	Facility		$387.55	$484.44	$720.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $306.81 / $1,269.64	Professional		$264.83	$306.81	$1,269.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.36 / $839.70 / $888.14	Facility		$694.36	$839.70	$888.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $159.49 / $1,336.25	Professional		$159.49	$159.49	$1,336.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.23 / $877.00 / $911.48	Facility		$259.23	$877.00	$911.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.50 / $1,038.29 / $1,592.76	Facility		$888.50	$1,038.29	$1,592.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.87 / $869.67 / $988.26	Professional		$370.87	$869.67	$988.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $171.17 / $387.55	Facility		$171.17	$171.17	$387.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $264.83 / $1,534.06	Facility		$171.17	$264.83	$1,534.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $322.95 / $894.60	Professional		$193.78	$322.95	$894.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $159.87 / $484.44	Professional		$55.00	$159.87	$484.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $171.17 / $387.55	Facility		$171.17	$171.17	$387.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $394.74 / $790.42 / $1,097.80	Professional		$394.74	$790.42	$1,097.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.91 / $645.91 / $1,534.06	Facility		$645.91	$645.91	$1,534.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $171.17 / $213.12	Professional		$171.17	$171.17	$213.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $332.27 / $332.27 / $687.76	Professional		$332.27	$332.27	$687.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $332.27 / $332.27 / $1,763.36	Professional		$332.27	$332.27	$1,763.36
United Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $266.36 / $894.60	Professional		$187.32	$266.36	$894.60