Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.18 / $255.18 / $255.18	Facility		$255.18	$255.18	$255.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $107.56 / $107.56	Professional		$93.83	$107.56	$107.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $297.52 / $314.68	Facility		$246.02	$297.52	$314.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $69.80 / $457.72	Professional		$45.77	$69.80	$457.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $174.23 / $279.66	Facility		$78.73	$174.23	$279.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.49 / $367.51 / $563.77	Facility		$314.49	$367.51	$563.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $308.13 / $350.15	Professional		$131.75	$308.13	$350.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $102.99 / $209.41	Facility		$69.00	$102.99	$209.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $114.43 / $543.54	Facility		$69.00	$114.43	$543.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $114.43 / $240.30	Professional		$66.37	$114.43	$240.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $97.55	Professional		$55.00	$65.00	$97.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $102.99 / $209.41	Facility		$69.00	$102.99	$209.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $272.58 / $389.40	Professional		$132.50	$272.58	$389.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $228.86 / $228.86 / $543.54	Facility		$228.86	$228.86	$543.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $60.65 / $60.65	Professional		$60.65	$60.65	$60.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $243.68 / $243.68 / $243.68	Professional		$243.68	$243.68	$243.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $332.56 / $624.79 / $624.79	Professional		$332.56	$624.79	$624.79
United Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $68.66 / $240.30	Professional		$57.22	$68.66	$240.30