Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.11 / $299.11 / $299.11	Facility		$299.11	$299.11	$299.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $126.08 / $126.08	Professional		$107.30	$126.08	$126.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $279.68 / $536.52	Professional		$160.94	$279.68	$536.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.27 / $204.27 / $204.27	Facility		$204.27	$204.27	$204.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.46 / $431.74 / $662.30	Facility		$369.46	$431.74	$662.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $361.19 / $410.44	Professional		$159.10	$361.19	$410.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $160.96 / $469.46	Facility		$103.28	$160.96	$469.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $160.96 / $469.46	Facility		$103.28	$160.96	$469.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $80.48 / $413.64	Professional		$67.06	$80.48	$413.64
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 $103.28 / $160.96 / $469.46	Facility		$103.28	$160.96	$469.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $320.08 / $448.95	Professional		$224.10	$320.08	$448.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $268.26 / $637.12 / $637.12	Facility		$268.26	$637.12	$637.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $536.52 / $670.65 / $670.65	Professional		$536.52	$670.65	$670.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $285.64 / $285.64 / $285.64	Professional		$285.64	$285.64	$285.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.81 / $732.35 / $732.35	Professional		$389.81	$732.35	$732.35
United Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $107.30 / $291.06	Facility		$107.30	$107.30	$291.06
United Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $80.48 / $249.67	Professional		$58.31	$80.48	$249.67