Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $355.12 / $750.40	Facility		$177.56	$355.12	$750.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $184.73 / $343.48	Professional		$149.60	$184.73	$343.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.47 / $381.73 / $395.94	Facility		$328.47	$381.73	$395.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $158.87 / $216.62	Professional		$158.87	$158.87	$216.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.10 / $371.10 / $371.10	Facility		$284.10	$371.10	$371.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $408.60 / $584.05	Facility		$174.44	$408.60	$584.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $352.47 / $400.54	Professional		$180.90	$352.47	$400.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $391.34	Facility		$177.56	$177.56	$391.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $355.12 / $355.12 / $355.12	Professional		$355.12	$355.12	$355.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.65 / $177.56 / $391.34	Facility		$116.65	$177.56	$391.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $186.90 / $355.12	Professional		$155.75	$186.90	$355.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $433.25	Professional		$55.00	$85.00	$433.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $391.34	Facility		$177.56	$177.56	$391.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $355.12 / $355.12 / $355.12	Professional		$355.12	$355.12	$355.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $396.60 / $590.51	Professional		$177.56	$396.60	$590.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $664.35 / $664.35 / $664.35	Facility		$664.35	$664.35	$664.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $249.29 / $249.29	Professional		$148.88	$249.29	$249.29
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $176.00 / $255.43	Professional		$155.75	$176.00	$255.43