Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.98 / $851.20 / $1,002.61	Facility		$444.98	$851.20	$1,002.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $444.98 / $940.95	Professional		$432.02	$444.98	$940.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.03 / $799.24 / $963.40	Facility		$540.03	$799.24	$963.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $548.66	Professional		$432.02	$432.02	$548.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $591.48 / $591.48 / $691.23	Facility		$591.48	$591.48	$691.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $891.27 / $1,274.01	Facility		$432.02	$891.27	$1,274.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $696.82 / $791.84	Professional		$432.02	$696.82	$791.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $436.51 / $952.34	Facility		$50.34	$436.51	$952.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $864.04 / $864.04	Professional		$16.82	$864.04	$864.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $436.51 / $961.61	Facility		$50.34	$436.51	$961.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.51 / $436.51 / $864.04	Professional		$436.51	$436.51	$864.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $449.30	Professional		$65.00	$85.00	$449.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $436.51 / $952.34	Facility		$50.34	$436.51	$952.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $864.04 / $864.04	Professional		$16.82	$864.04	$864.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $438.83 / $1,220.00	Professional		$432.02	$438.83	$1,220.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $432.02 / $2,246.50	Facility		$432.02	$432.02	$2,246.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $606.55 / $606.55	Professional		$92.10	$606.55	$606.55
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $591.52	Professional		$432.02	$432.02	$591.52