Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.16 / $238.49 / $443.19	Facility		$229.16	$238.49	$443.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $198.74 / $238.49	Professional		$153.03	$198.74	$238.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.29 / $516.72 / $546.54	Facility		$427.29	$516.72	$546.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $810.72	Professional		$45.77	$45.77	$810.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $485.71 / $504.80	Facility		$103.37	$485.71	$504.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $198.74 / $198.74	Professional		$198.74	$198.74	$198.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.98 / $639.19 / $980.53	Facility		$546.98	$639.19	$980.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $259.22 / $608.15	Professional		$60.16	$259.22	$608.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.98 / $195.99 / $254.39	Facility		$109.98	$195.99	$254.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.98 / $198.74 / $944.02	Facility		$109.98	$198.74	$944.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $166.03 / $357.73	Professional		$99.62	$166.03	$357.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $98.38 / $298.11	Professional		$55.00	$98.38	$298.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.98 / $195.99 / $254.39	Facility		$109.98	$195.99	$254.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $484.32 / $675.40	Professional		$220.86	$484.32	$675.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $397.48 / $397.48 / $944.02	Facility		$397.48	$397.48	$944.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $60.16	Professional		$59.04	$60.16	$60.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $153.26 / $423.23	Professional		$153.26	$153.26	$423.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $577.58 / $1,085.11 / $1,085.11	Professional		$577.58	$1,085.11	$1,085.11
United Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $158.99 / $357.73	Professional		$99.37	$158.99	$357.73