Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $332.74 / $464.17	Facility		$158.11	$332.74	$464.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $185.94 / $279.85	Professional		$139.51	$185.94	$279.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $285.83 / $543.41	Professional		$173.05	$285.83	$543.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.32 / $215.68 / $253.98	Facility		$169.32	$215.68	$253.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $232.01 / $323.50	Professional		$193.34	$232.01	$323.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $445.95 / $593.46	Professional		$196.80	$445.95	$593.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $178.66 / $219.77 / $418.93	Facility		$178.66	$219.77	$418.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $222.95 / $418.93	Facility		$175.16	$222.95	$418.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.49 / $477.67 / $1,355.26	Professional		$233.49	$477.67	$1,355.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $348.63 / $446.38	Professional		$70.00	$348.63	$446.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $178.76 / $221.60 / $418.93	Facility		$178.76	$221.60	$418.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.58 / $494.58 / $629.32	Professional		$338.58	$494.58	$629.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $342.64 / $809.87	Facility		$240.39	$342.64	$809.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.76 / $934.05 / $1,355.26	Professional		$240.76	$934.05	$1,355.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $345.03 / $402.96	Professional		$345.03	$345.03	$402.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $608.19 / $712.23	Professional		$345.03	$608.19	$712.23
United Facility/Professional Professional Modifier Low / Median / High Price $229.10 / $365.87 / $590.03	Professional		$229.10	$365.87	$590.03