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 / $680.79	Professional		$133.34	$207.80	$680.79
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 $98.11 / $173.17 / $744.63	Professional		$98.11	$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 $155.85 / $221.66 / $606.10	Facility		$155.85	$221.66	$606.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.85 / $221.66 / $606.10	Facility		$155.85	$221.66	$606.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $238.97 / $1,423.97	Professional		$141.54	$238.97	$1,423.97
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 $155.85 / $221.66 / $606.10	Facility		$155.85	$221.66	$606.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.75 / $451.59 / $1,142.02	Professional		$347.75	$451.59	$1,142.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $412.95 / $826.74 / $826.74	Facility		$412.95	$826.74	$826.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $921.23 / $1,423.97	Professional		$222.89	$921.23	$1,423.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $368.77 / $368.77 / $446.92	Professional		$368.77	$368.77	$446.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.92 / $690.37 / $945.51	Professional		$446.92	$690.37	$945.51
United Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $173.17 / $173.17	Facility		$173.17	$173.17	$173.17
United Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $173.18 / $562.79	Professional		$138.54	$173.18	$562.79