Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.94 / $386.18 / $574.11	Facility		$308.94	$386.18	$574.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $308.94 / $1,012.10	Professional		$198.24	$308.94	$1,012.10
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 / $901.08	Facility		$231.71	$308.94	$901.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $212.33 / $926.82	Professional		$148.63	$212.33	$926.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $257.45	Professional		$50.00	$70.00	$257.45
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 / $875.60	Professional		$517.40	$671.90	$875.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $514.90 / $1,222.89 / $1,222.89	Facility		$514.90	$1,222.89	$1,222.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $345.46 / $1,287.25 / $1,319.21	Professional		$345.46	$1,287.25	$1,319.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $264.86 / $264.86 / $548.25	Professional		$264.86	$264.86	$548.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $264.86 / $264.86 / $1,405.68	Professional		$264.86	$264.86	$1,405.68
United Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $210.41 / $743.15	Professional		$115.85	$210.41	$743.15