Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.94 / $574.11 / $696.65	Facility		$308.94	$574.11	$696.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $242.00 / $574.11	Professional		$198.24	$242.00	$574.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $553.52 / $669.37 / $707.99	Facility		$553.52	$669.37	$707.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $257.45 / $1,107.04	Professional		$127.14	$257.45	$1,107.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $699.08 / $699.08 / $726.57	Facility		$699.08	$699.08	$726.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $708.28 / $827.68 / $1,269.68	Facility		$708.28	$827.68	$1,269.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $693.26 / $787.80	Professional		$295.70	$693.26	$787.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $198.24 / $308.94 / $901.08	Facility		$198.24	$308.94	$901.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.71 / $308.94 / $1,097.33	Facility		$231.71	$308.94	$1,097.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $217.37 / $1,820.56	Professional		$151.07	$217.37	$1,820.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $530.82	Professional		$50.00	$70.00	$530.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $198.24 / $308.94 / $901.08	Facility		$198.24	$308.94	$901.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $517.40 / $671.90 / $903.94	Professional		$517.40	$671.90	$903.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $657.42 / $1,228.92 / $1,228.92	Facility		$657.42	$1,228.92	$1,228.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.18 / $1,369.46 / $1,820.56	Professional		$331.18	$1,369.46	$1,820.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $515.00 / $515.00 / $548.25	Professional		$515.00	$515.00	$548.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $515.00 / $515.00 / $1,405.68	Professional		$515.00	$515.00	$1,405.68
United Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $205.96 / $637.32	Professional		$115.85	$205.96	$637.32