Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $176.17	Facility		$94.80	$94.80	$176.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $94.80 / $94.80	Professional		$63.20	$94.80	$94.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $41.01 / $322.27	Professional		$31.60	$41.01	$322.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.09 / $193.07 / $193.07	Facility		$120.09	$193.07	$193.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.17 / $253.78 / $389.31	Facility		$217.17	$253.78	$389.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $212.73 / $241.74	Professional		$84.98	$212.73	$241.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.83 / $94.80 / $276.50	Facility		$60.83	$94.80	$276.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.83 / $101.12 / $276.50	Facility		$60.83	$101.12	$276.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $47.40 / $284.39	Professional		$39.50	$47.40	$284.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.83 / $94.80 / $276.50	Facility		$60.83	$94.80	$276.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $188.20 / $263.95	Professional		$131.76	$188.20	$263.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $375.25 / $375.25	Facility		$158.00	$375.25	$375.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $395.00 / $395.00	Professional		$316.00	$395.00	$395.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $168.23 / $168.23 / $168.23	Professional		$168.23	$168.23	$168.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.59 / $431.34 / $431.34	Professional		$229.59	$431.34	$431.34
United Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $47.40 / $165.90	Professional		$35.54	$47.40	$165.90