Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.30 / $586.29 / $1,225.49	Facility		$296.30	$586.29	$1,225.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $246.92 / $339.09	Professional		$176.89	$246.92	$339.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.88 / $641.99 / $679.03	Facility		$530.88	$641.99	$679.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $1,007.24	Professional		$45.77	$45.77	$1,007.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $603.45 / $627.17	Facility		$129.72	$603.45	$627.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $246.92 / $246.92	Professional		$246.92	$246.92	$246.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.44 / $793.98 / $1,217.99	Facility		$679.44	$793.98	$1,217.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $322.02 / $755.58	Professional		$60.16	$322.02	$755.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.57 / $243.52 / $316.06	Facility		$142.57	$243.52	$316.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.57 / $246.92 / $1,172.86	Facility		$142.57	$246.92	$1,172.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $215.23 / $451.98	Professional		$129.13	$215.23	$451.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $122.23 / $370.38	Professional		$55.00	$122.23	$370.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.57 / $243.52 / $316.06	Facility		$142.57	$243.52	$316.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $601.85 / $839.30	Professional		$274.45	$601.85	$839.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $493.84 / $493.84 / $1,172.86	Facility		$493.84	$493.84	$1,172.86
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 $190.40 / $190.40 / $525.83	Professional		$190.40	$190.40	$525.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $737.80 / $1,348.18	Professional		$190.40	$737.80	$1,348.18
United Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $197.54 / $451.98	Professional		$129.13	$197.54	$451.98