Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.33 / $479.00 / $913.42	Facility		$185.33	$479.00	$913.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $180.00 / $226.80	Professional		$102.70	$180.00	$226.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $960.00 / $1,964.14	Facility		$541.00	$960.00	$1,964.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $225.28 / $625.49	Professional		$119.56	$225.28	$625.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $63.47 / $114.17	Facility		$36.84	$63.47	$114.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $58.69 / $105.85	Professional		$43.61	$58.69	$105.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $541.26 / $830.30	Facility		$463.18	$541.26	$830.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $354.38 / $436.88	Professional		$78.91	$354.38	$436.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $180.00 / $276.14	Facility		$101.82	$180.00	$276.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $180.00 / $278.00	Facility		$101.82	$180.00	$278.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $446.90 / $917.85	Professional		$201.63	$446.90	$917.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $65.00 / $389.24	Professional		$36.65	$65.00	$389.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $180.00 / $276.14	Facility		$101.82	$180.00	$276.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $221.36 / $325.92	Professional		$123.35	$221.36	$325.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $507.98 / $507.98 / $507.98	Facility		$507.98	$507.98	$507.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $917.85 / $917.85	Professional		$78.91	$917.85	$917.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $123.76 / $123.76	Professional		$123.76	$123.76	$123.76
Security Health Facility/Professional Facility Modifier Low / Median / High Price $327.88 / $416.68 / $462.41	Facility		$327.88	$416.68	$462.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $483.43 / $483.43	Professional		$154.69	$483.43	$483.43
United Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $392.02 / $757.58	Professional		$180.94	$392.02	$757.58