Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.35 / $225.44 / $335.15	Facility		$180.35	$225.44	$335.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $173.81 / $335.15	Professional		$115.72	$173.81	$335.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.12 / $390.75 / $413.30	Facility		$323.12	$390.75	$413.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $150.29 / $646.25	Professional		$85.14	$150.29	$646.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $442.12 / $442.12 / $465.90	Facility		$442.12	$442.12	$465.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $483.34 / $741.46	Facility		$413.61	$483.34	$741.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $440.11 / $500.13	Professional		$173.05	$440.11	$500.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $192.37 / $526.02	Facility		$135.26	$192.37	$526.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $192.37 / $526.02	Facility		$135.26	$192.37	$526.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $207.40 / $1,249.00	Professional		$125.98	$207.40	$1,249.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $309.87	Professional		$50.00	$70.00	$309.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $192.37 / $526.02	Facility		$135.26	$192.37	$526.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.25 / $392.51 / $1,142.02	Professional		$302.25	$392.51	$1,142.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $393.69 / $724.00 / $724.00	Facility		$393.69	$724.00	$724.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.32 / $799.43 / $1,249.00	Professional		$193.32	$799.43	$1,249.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.62 / $154.62 / $320.05	Professional		$154.62	$154.62	$320.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.62 / $436.77 / $820.58	Professional		$154.62	$436.77	$820.58
United Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $150.29 / $150.29	Facility		$150.29	$150.29	$150.29
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $152.71 / $488.44	Professional		$120.23	$152.71	$488.44