Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.59 / $279.83 / $989.19	Facility		$150.59	$279.83	$989.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $130.56 / $172.33	Professional		$96.63	$130.56	$172.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.80 / $326.27 / $345.10	Facility		$269.80	$326.27	$345.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $125.49 / $539.61	Professional		$70.62	$125.49	$539.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.66 / $366.66 / $386.39	Facility		$366.66	$366.66	$386.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.13 / $403.31 / $618.69	Facility		$345.13	$403.31	$618.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $367.49 / $417.60	Professional		$144.13	$367.49	$417.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $160.63 / $439.22	Facility		$112.94	$160.63	$439.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $169.41 / $638.96	Facility		$112.94	$169.41	$638.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $175.40 / $1,215.00	Professional		$104.48	$175.40	$1,215.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $256.99	Professional		$50.00	$70.00	$256.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $160.63 / $439.22	Facility		$112.94	$160.63	$439.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.20 / $327.51 / $922.41	Professional		$252.20	$327.51	$922.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $704.00 / $704.00	Facility		$297.22	$704.00	$704.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $663.01 / $1,215.00	Professional		$160.44	$663.01	$1,215.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $267.24 / $267.24 / $308.58	Professional		$267.24	$267.24	$308.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $364.70 / $685.18	Professional		$308.58	$364.70	$685.18
United Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $125.49 / $125.49	Facility		$125.49	$125.49	$125.49
United Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $170.98 / $459.33	Professional		$100.39	$170.98	$459.33