Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.96 / $286.08 / $900.14	Facility		$114.96	$286.08	$900.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $99.39 / $433.00	Professional		$76.64	$99.39	$433.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.97 / $249.08 / $263.45	Facility		$205.97	$249.08	$263.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $82.30 / $411.94	Professional		$63.04	$82.30	$411.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $142.28 / $243.33	Facility		$95.80	$142.28	$243.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $100.59 / $123.80	Professional		$95.80	$100.59	$123.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.02 / $308.54 / $473.30	Facility		$264.02	$308.54	$473.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $257.97 / $293.14	Professional		$109.86	$257.97	$293.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $114.96 / $335.30	Facility		$73.77	$114.96	$335.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $177.23 / $455.05	Facility		$86.22	$177.23	$455.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $71.84 / $323.99	Professional		$50.30	$71.84	$323.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $182.02	Professional		$50.00	$70.00	$182.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $114.96 / $335.30	Facility		$73.77	$114.96	$335.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.40 / $240.94 / $325.60	Professional		$192.40	$240.94	$325.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $191.60 / $455.05 / $455.05	Facility		$191.60	$455.05	$455.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $479.00 / $479.00	Professional		$116.93	$479.00	$479.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $144.19 / $204.01	Professional		$144.19	$144.19	$204.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $278.42 / $523.07	Professional		$144.19	$278.42	$523.07
United Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $95.80 / $95.80	Facility		$95.80	$95.80	$95.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $71.84 / $251.48	Professional		$43.11	$71.84	$251.48