Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $290.68 / $377.00	Facility		$156.41	$290.68	$377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $122.53 / $290.68	Professional		$100.37	$122.53	$290.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.25 / $338.91 / $358.46	Facility		$280.25	$338.91	$358.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $130.35 / $560.51	Professional		$64.37	$130.35	$560.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $353.95 / $353.95 / $367.87	Facility		$353.95	$353.95	$367.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.65 / $419.11 / $642.91	Facility		$358.65	$419.11	$642.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $351.01 / $398.88	Professional		$149.91	$351.01	$398.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $156.41 / $456.23	Facility		$100.37	$156.41	$456.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $156.41 / $456.23	Facility		$117.32	$156.41	$456.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $109.27 / $496.25	Professional		$77.95	$109.27	$496.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $255.55	Professional		$50.00	$70.00	$255.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $156.41 / $456.23	Facility		$100.37	$156.41	$456.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $340.17 / $443.30	Professional		$261.95	$340.17	$443.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $332.86 / $622.71 / $622.71	Facility		$332.86	$622.71	$622.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.75 / $685.05 / $1,071.80	Professional		$167.75	$685.05	$1,071.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $134.10 / $277.58	Professional		$134.10	$134.10	$277.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $134.10 / $711.71	Professional		$134.10	$134.10	$711.71
United Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $104.28 / $357.22	Professional		$65.18	$104.28	$357.22