Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $403.88 / $797.54	Facility		$171.16	$403.88	$797.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $135.50 / $504.33	Professional		$75.59	$135.50	$504.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.64 / $370.84 / $392.23	Facility		$306.64	$370.84	$392.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $124.08 / $613.30	Professional		$95.03	$124.08	$613.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $211.84 / $362.28	Facility		$142.63	$211.84	$362.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $149.76 / $184.44	Professional		$142.63	$149.76	$184.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.53 / $458.70 / $703.66	Facility		$392.53	$458.70	$703.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $384.08 / $436.45	Professional		$163.88	$384.08	$436.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $171.16 / $499.21	Facility		$109.83	$171.16	$499.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $378.74 / $569.49	Facility		$156.88	$378.74	$569.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $142.63 / $434.36	Professional		$76.76	$142.63	$434.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $140.78	Professional		$50.00	$70.00	$140.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $171.16 / $499.21	Facility		$109.83	$171.16	$499.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $354.57 / $485.10	Professional		$286.64	$354.57	$485.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $285.26 / $677.49 / $677.49	Facility		$285.26	$677.49	$677.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $713.15 / $713.15	Professional		$172.07	$713.15	$713.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.99 / $131.99 / $303.74	Professional		$131.99	$131.99	$303.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.99 / $511.44 / $778.76	Professional		$131.99	$511.44	$778.76
United Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Facility		$142.63	$142.63	$142.63
United Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $105.80 / $555.57	Professional		$76.76	$105.80	$555.57