Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.44 / $536.00 / $894.72	Facility		$192.44	$536.00	$894.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $153.94 / $286.08	Professional		$98.78	$153.94	$286.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.82 / $333.55 / $352.80	Facility		$275.82	$333.55	$352.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $128.29 / $551.65	Professional		$63.35	$128.29	$551.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $190.55 / $362.05	Facility		$128.29	$190.55	$362.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $134.69 / $166.04	Professional		$128.29	$134.69	$166.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.24 / $412.79 / $633.23	Facility		$353.24	$412.79	$633.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $345.46 / $392.56	Professional		$147.44	$345.46	$392.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $153.94 / $449.02	Facility		$98.78	$153.94	$449.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $224.51 / $653.64	Facility		$128.29	$224.51	$653.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $104.75 / $461.84	Professional		$73.31	$104.75	$461.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $128.29	Professional		$50.00	$70.00	$128.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $153.94 / $449.02	Facility		$98.78	$153.94	$449.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.05 / $334.04 / $436.70	Professional		$258.05	$334.04	$436.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.35 / $609.38 / $609.38	Facility		$275.35	$609.38	$609.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $641.45 / $641.45	Professional		$162.10	$641.45	$641.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.99 / $131.99 / $273.20	Professional		$131.99	$131.99	$273.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.99 / $131.99 / $700.46	Professional		$131.99	$131.99	$700.46
United Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $102.63 / $309.33	Professional		$64.15	$102.63	$309.33