Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $391.73 / $522.29	Facility		$261.14	$391.73	$522.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $275.20 / $783.45	Professional		$248.00	$275.20	$783.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.13 / $561.47 / $582.36	Facility		$483.13	$561.47	$582.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $233.78 / $318.60	Professional		$233.78	$233.78	$318.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $417.84 / $545.79 / $545.79	Facility		$417.84	$545.79	$545.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $615.53 / $879.86	Facility		$269.49	$615.53	$879.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $395.45 / $449.38	Professional		$269.49	$395.45	$449.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $575.25	Facility		$261.14	$261.14	$575.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $522.29 / $522.29 / $522.29	Professional		$522.29	$522.29	$522.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $575.25	Facility		$261.14	$261.14	$575.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $274.89 / $522.29	Professional		$229.20	$274.89	$522.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $261.14 / $637.21	Professional		$85.00	$261.14	$637.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $575.25	Facility		$261.14	$261.14	$575.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $522.29 / $522.29 / $522.29	Professional		$522.29	$522.29	$522.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $597.96 / $862.40	Professional		$261.14	$597.96	$862.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,000.91 / $1,000.91 / $1,000.91	Facility		$1,000.91	$1,000.91	$1,000.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $366.65 / $366.65 / $377.04	Professional		$366.65	$366.65	$377.04
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $271.89 / $415.11	Professional		$240.62	$271.89	$415.11