Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $198.81 / $198.81	Professional		$198.81	$198.81	$198.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $994.04	Professional		$66.20	$66.20	$994.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.01 / $378.01 / $378.01	Facility		$378.01	$378.01	$378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.95 / $799.25 / $1,226.07	Facility		$683.95	$799.25	$1,226.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $669.19 / $760.44	Professional		$293.94	$669.19	$760.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.35 / $298.20 / $869.79	Facility		$191.35	$298.20	$869.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.35 / $298.20 / $869.79	Facility		$191.35	$298.20	$869.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $149.11 / $766.37	Professional		$124.26	$149.11	$766.37
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 $191.35 / $298.20 / $869.79	Facility		$191.35	$298.20	$869.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $414.72 / $592.36 / $830.82	Professional		$414.72	$592.36	$830.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $497.02 / $1,180.42 / $1,180.42	Facility		$497.02	$1,180.42	$1,180.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $994.04 / $1,242.55 / $1,242.55	Professional		$994.04	$1,242.55	$1,242.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $529.21 / $529.21 / $529.21	Professional		$529.21	$529.21	$529.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $722.22 / $1,356.86 / $1,356.86	Professional		$722.22	$1,356.86	$1,356.86
United Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $149.11 / $521.87	Professional		$108.03	$149.11	$521.87