Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.40 / $128.40 / $238.61	Facility		$128.40	$128.40	$238.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $128.40 / $128.40	Professional		$85.60	$128.40	$128.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $135.44 / $458.31	Professional		$115.13	$135.44	$458.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $261.50 / $261.50	Facility		$162.91	$261.50	$261.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.67 / $344.34 / $528.23	Facility		$294.67	$344.34	$528.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $288.13 / $327.43	Professional		$126.77	$288.13	$327.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.39 / $128.40 / $374.50	Facility		$82.39	$128.40	$374.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $128.40 / $374.50	Facility		$96.30	$128.40	$374.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $64.20 / $329.97	Professional		$53.50	$64.20	$329.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.39 / $128.40 / $374.50	Facility		$82.39	$128.40	$374.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $255.30 / $358.08	Professional		$178.74	$255.30	$358.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $508.25 / $508.25	Facility		$214.00	$508.25	$508.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $535.00 / $535.00	Professional		$428.00	$535.00	$535.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $227.86 / $227.86	Professional		$227.86	$227.86	$227.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $310.95 / $584.22 / $584.22	Professional		$310.95	$584.22	$584.22
United Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $64.20 / $263.56	Professional		$48.15	$64.20	$263.56