Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $287.07 / $555.10	Facility		$154.47	$287.07	$555.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $132.94 / $287.07	Professional		$99.12	$132.94	$287.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.77 / $334.70 / $354.01	Facility		$276.77	$334.70	$354.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $128.72 / $553.54	Professional		$63.57	$128.72	$553.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.56 / $349.56 / $363.30	Facility		$349.56	$349.56	$363.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.14 / $413.84 / $634.84	Facility		$354.14	$413.84	$634.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.85 / $346.64 / $393.91	Professional		$147.85	$346.64	$393.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.12 / $154.47 / $450.56	Facility		$99.12	$154.47	$450.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $154.47 / $450.56	Facility		$115.86	$154.47	$450.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $108.68 / $463.43	Professional		$76.08	$108.68	$463.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $252.36	Professional		$50.00	$70.00	$252.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.12 / $154.47 / $450.56	Facility		$99.12	$154.47	$450.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $335.95 / $437.80	Professional		$258.70	$335.95	$437.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $328.71 / $611.47 / $611.47	Facility		$328.71	$611.47	$611.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $643.65 / $716.39	Professional		$177.05	$643.65	$716.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $132.44 / $274.14	Professional		$132.44	$132.44	$274.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $132.44 / $702.87	Professional		$132.44	$132.44	$702.87
United Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $102.98 / $320.95	Professional		$55.96	$102.98	$320.95