Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.67 / $327.08 / $630.79	Facility		$261.67	$327.08	$630.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.81 / $204.98 / $261.67	Professional		$178.81	$204.98	$261.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.83 / $566.96 / $599.66	Facility		$468.83	$566.96	$599.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.22 / $889.52	Professional		$87.22	$87.22	$889.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $228.96 / $553.87	Facility		$218.06	$228.96	$553.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.15 / $701.32 / $1,075.83	Facility		$600.15	$701.32	$1,075.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $406.85 / $667.26	Professional		$250.69	$406.85	$667.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $113.39 / $261.67	Facility		$113.39	$113.39	$261.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $204.98 / $1,035.79	Facility		$113.39	$204.98	$1,035.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $218.06 / $457.93	Professional		$126.47	$218.06	$457.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $107.94 / $327.08	Professional		$17.72	$107.94	$327.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $113.39 / $261.67	Facility		$113.39	$113.39	$261.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.69 / $519.86 / $741.40	Professional		$289.69	$519.86	$741.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.12 / $436.12 / $1,035.79	Facility		$436.12	$436.12	$1,035.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $106.08 / $115.57	Professional		$106.08	$106.08	$115.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $218.06 / $464.37	Professional		$218.06	$218.06	$464.37
Security Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.48 / $1,314.90 / $1,502.43	Facility		$1,092.48	$1,314.90	$1,502.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $633.73 / $1,190.60	Professional		$218.06	$633.73	$1,190.60
United Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $174.45 / $218.06	Facility		$109.03	$174.45	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $174.45 / $457.93	Professional		$117.75	$174.45	$457.93