Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.98 / $366.82 / $88,589.31	Facility		$188.98	$366.82	$88,589.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $185.31 / $251.97	Professional		$183.47	$185.31	$251.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.35 / $339.44 / $409.16	Facility		$229.35	$339.44	$409.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $247.69	Professional		$183.48	$183.48	$247.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $256.77 / $336.30	Facility		$183.41	$256.77	$336.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.48 / $425.41	Professional		$183.41	$183.48	$425.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $269.02 / $492.13	Facility		$183.48	$269.02	$492.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $229.50 / $338.55	Professional		$183.48	$229.50	$338.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.45 / $183.48 / $315.83	Facility		$165.45	$183.48	$315.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $366.96 / $366.96	Professional		$275.12	$366.96	$366.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.45 / $183.41 / $264.49	Facility		$165.45	$183.41	$264.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $204.17 / $7,591.34	Professional		$183.41	$204.17	$7,591.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $183.48 / $315.83	Facility		$153.13	$183.48	$315.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $366.96 / $366.96	Professional		$275.12	$366.96	$366.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $279.33 / $557.00	Professional		$183.48	$279.33	$557.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $183.48 / $901.10	Facility		$181.09	$183.48	$901.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $331.23 / $7,591.34	Professional		$183.48	$331.23	$7,591.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $188.63 / $257.61 / $267.73	Professional		$188.63	$257.61	$267.73
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $218.34	Professional		$183.48	$194.49	$218.34