Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.28 / $401.66 / $783.90	Facility		$226.28	$401.66	$783.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $226.28 / $706.74	Professional		$145.19	$226.28	$706.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.43 / $490.28 / $518.57	Facility		$405.43	$490.28	$518.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $188.57 / $810.85	Professional		$101.85	$188.57	$810.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.85 / $528.85 / $557.29	Facility		$528.85	$528.85	$557.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.04 / $606.54 / $930.46	Facility		$519.04	$606.54	$930.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.83 / $550.47 / $627.51	Professional		$216.83	$550.47	$627.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $241.37 / $660.00	Facility		$169.71	$241.37	$660.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $241.37 / $660.00	Facility		$169.71	$241.37	$660.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $252.98 / $1,478.21	Professional		$150.86	$252.98	$1,478.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $370.66	Professional		$50.00	$70.00	$370.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $241.37 / $660.00	Facility		$169.71	$241.37	$660.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $378.95 / $492.11 / $1,142.02	Professional		$378.95	$492.11	$1,142.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $428.68 / $895.71 / $895.71	Facility		$428.68	$895.71	$895.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $231.19 / $956.29 / $1,478.21	Professional		$231.19	$956.29	$1,478.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $161.99 / $401.57	Professional		$161.99	$161.99	$401.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $716.70 / $1,029.58	Professional		$161.99	$716.70	$1,029.58
United Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $188.57 / $612.85	Professional		$134.15	$188.57	$612.85