Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.39 / $387.26 / $520.79	Facility		$208.39	$387.26	$520.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $208.39 / $653.88	Professional		$133.72	$208.39	$653.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.37 / $451.52 / $477.57	Facility		$373.37	$451.52	$477.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $173.66 / $746.74	Professional		$94.23	$173.66	$746.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.29 / $489.29 / $515.62	Facility		$489.29	$489.29	$515.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.59 / $558.11 / $856.15	Facility		$477.59	$558.11	$856.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.48 / $506.52 / $577.90	Professional		$199.48	$506.52	$577.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $156.29 / $222.28 / $607.80	Facility		$156.29	$222.28	$607.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.29 / $222.28 / $607.80	Facility		$156.29	$222.28	$607.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.43 / $234.05 / $1,367.63	Professional		$139.43	$234.05	$1,367.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $342.94	Professional		$50.00	$70.00	$342.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $156.29 / $222.28 / $607.80	Facility		$156.29	$222.28	$607.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $327.27 / $423.59 / $590.70	Professional		$327.27	$423.59	$590.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $396.62 / $824.89 / $824.89	Facility		$396.62	$824.89	$824.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $884.75 / $1,367.63	Professional		$213.92	$884.75	$1,367.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $171.12 / $369.82	Professional		$171.12	$171.12	$369.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $663.08 / $948.18	Professional		$171.12	$663.08	$948.18
United Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $194.27 / $564.40	Professional		$124.12	$194.27	$564.40