Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.09 / $634.84 / $729.08	Facility		$328.09	$634.84	$729.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $321.72 / $369.50	Professional		$318.52	$321.72	$369.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.16 / $589.28 / $710.32	Facility		$398.16	$589.28	$710.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $430.01	Professional		$318.52	$318.52	$430.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.65 / $573.35 / $583.84	Facility		$509.65	$573.35	$583.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $614.84 / $1,066.58	Facility		$318.52	$614.84	$1,066.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $398.63 / $533.00	Professional		$318.52	$398.63	$533.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $321.72 / $352.24	Facility		$317.42	$321.72	$352.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $476.13 / $637.05 / $637.05	Professional		$476.13	$637.05	$637.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $317.42 / $351.00	Facility		$317.42	$317.42	$351.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $353.36 / $1,374.70	Professional		$317.42	$353.36	$1,374.70
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 $317.42 / $318.52 / $354.53	Facility		$317.42	$318.52	$354.53
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $476.13 / $637.05 / $637.05	Professional		$476.13	$637.05	$637.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $485.14 / $1,040.61	Professional		$318.52	$485.14	$1,040.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $313.00 / $318.52 / $1,565.00	Facility		$313.00	$318.52	$1,565.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $572.79 / $1,374.70	Professional		$318.52	$572.79	$1,374.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $419.70 / $447.22 / $447.22	Professional		$419.70	$447.22	$447.22
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $328.12 / $379.05	Professional		$318.52	$328.12	$379.05