Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.15 / $408.10 / $594.96	Facility		$330.15	$408.10	$594.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $325.54 / $552.79	Professional		$255.00	$325.54	$552.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.87 / $672.74 / $697.77	Facility		$578.87	$672.74	$697.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $280.08 / $381.73	Professional		$280.08	$280.08	$381.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.64 / $653.96 / $653.96	Facility		$500.64	$653.96	$653.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $723.56 / $1,034.28	Facility		$307.55	$723.56	$1,034.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.83 / $634.79 / $721.36	Professional		$318.83	$634.79	$721.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $312.89 / $689.31	Facility		$312.89	$312.89	$689.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $625.79 / $625.79 / $625.79	Professional		$625.79	$625.79	$625.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.08 / $399.83 / $600.89	Facility		$301.08	$399.83	$600.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $312.89 / $625.79	Professional		$274.60	$312.89	$625.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $763.48	Professional		$55.00	$85.00	$763.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $312.89 / $689.31	Facility		$312.89	$312.89	$689.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $625.79 / $625.79 / $625.79	Professional		$625.79	$625.79	$625.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $702.45 / $1,013.10	Professional		$312.89	$702.45	$1,013.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,176.64 / $1,176.64 / $1,176.64	Facility		$1,176.64	$1,176.64	$1,176.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $421.89 / $439.31 / $447.71	Professional		$421.89	$439.31	$447.71
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $310.30 / $439.36	Professional		$274.60	$310.30	$439.36