Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.80 / $259.76 / $386.17	Facility		$207.80	$259.76	$386.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $207.80 / $585.21	Professional		$133.34	$207.80	$585.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.32 / $450.24 / $476.22	Facility		$372.32	$450.24	$476.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $173.17 / $744.63	Professional		$85.52	$173.17	$744.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.45 / $509.45 / $536.85	Facility		$509.45	$509.45	$536.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.69 / $557.04 / $854.53	Facility		$476.69	$557.04	$854.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $507.11 / $576.26	Professional		$199.07	$507.11	$576.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $207.80 / $606.10	Facility		$135.00	$207.80	$606.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $207.80 / $606.10	Facility		$135.00	$207.80	$606.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $207.80 / $1,224.10	Professional		$138.54	$207.80	$1,224.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $477.95	Professional		$55.00	$85.00	$477.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $207.80 / $606.10	Facility		$135.00	$207.80	$606.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.75 / $451.59 / $588.50	Professional		$347.75	$451.59	$588.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.34 / $822.56 / $822.56	Facility		$346.34	$822.56	$822.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.66 / $865.85 / $1,224.10	Professional		$191.66	$865.85	$1,224.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $153.15 / $368.77	Professional		$153.15	$153.15	$368.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $503.27 / $945.51	Professional		$153.15	$503.27	$945.51
United Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $173.17 / $559.47	Professional		$121.67	$173.17	$559.47