Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.02 / $487.64 / $560.04	Facility		$251.02	$487.64	$560.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $251.02 / $334.68	Professional		$243.71	$251.02	$334.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.64 / $450.86 / $543.47	Facility		$304.64	$450.86	$543.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $329.00	Professional		$243.71	$243.71	$329.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.94 / $438.68 / $446.70	Facility		$389.94	$438.68	$446.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $316.38 / $657.72	Facility		$243.71	$316.38	$657.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $288.33 / $413.40	Professional		$243.71	$288.33	$413.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $246.15 / $269.50	Facility		$243.71	$246.15	$269.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $365.73 / $487.42 / $487.42	Professional		$365.73	$487.42	$487.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $243.82 / $269.62	Facility		$243.82	$243.82	$269.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.82 / $271.42 / $1,059.88	Professional		$243.82	$271.42	$1,059.88
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 $243.71 / $243.82 / $271.25	Facility		$243.71	$243.82	$271.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $365.73 / $487.42 / $487.42	Professional		$365.73	$487.42	$487.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $372.21 / $801.81	Professional		$243.71	$372.21	$801.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $240.61 / $243.71 / $1,200.70	Facility		$240.61	$243.71	$1,200.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $441.62 / $1,059.88	Professional		$243.71	$441.62	$1,059.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $319.97 / $342.17 / $342.17	Professional		$319.97	$342.17	$342.17
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $258.33 / $308.33	Professional		$243.71	$258.33	$308.33