Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $688.90 / $1,247.23	Facility		$173.53	$688.90	$1,247.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $137.38 / $603.50	Professional		$111.35	$137.38	$603.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.91 / $375.99 / $397.68	Facility		$310.91	$375.99	$397.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $144.61 / $621.82	Professional		$70.62	$144.61	$621.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.87 / $382.87 / $403.46	Facility		$382.87	$382.87	$403.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.30 / $465.44 / $714.00	Facility		$398.30	$465.44	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $422.40 / $481.23	Professional		$166.03	$422.40	$481.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $173.53 / $506.14	Facility		$111.35	$173.53	$506.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $208.27 / $924.00	Facility		$130.15	$208.27	$924.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $176.54 / $1,085.40	Professional		$115.69	$176.54	$1,085.40
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 $111.35 / $173.53 / $506.14	Facility		$111.35	$173.53	$506.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $290.55 / $377.31 / $528.72	Professional		$290.55	$377.31	$528.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $766.73 / $766.73	Facility		$297.22	$766.73	$766.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $723.05 / $1,085.40	Professional		$160.44	$723.05	$1,085.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $307.95 / $307.95 / $391.40	Professional		$307.95	$307.95	$391.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $422.37 / $789.57	Professional		$391.40	$422.37	$789.57
United Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $144.61 / $469.98	Professional		$115.69	$144.61	$469.98