Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $147.35 / $147.35	Professional		$125.40	$147.35	$147.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $648.55	Professional		$5.92	$5.92	$648.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.71 / $238.71 / $238.71	Facility		$238.71	$238.71	$238.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.64 / $504.40 / $773.76	Facility		$431.64	$504.40	$773.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $422.09 / $479.65	Professional		$185.90	$422.09	$479.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.70 / $188.10 / $548.63	Facility		$120.70	$188.10	$548.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.70 / $188.10 / $548.63	Facility		$120.70	$188.10	$548.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $94.05 / $483.39	Professional		$78.38	$94.05	$483.39
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 $120.70 / $188.10 / $548.63	Facility		$120.70	$188.10	$548.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $374.08 / $524.66	Professional		$261.89	$374.08	$524.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $313.50 / $744.56 / $744.56	Facility		$313.50	$744.56	$744.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $627.00 / $780.62	Professional		$627.00	$627.00	$780.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $333.81 / $333.81 / $333.81	Professional		$333.81	$333.81	$333.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $855.86 / $855.86 / $855.86	Professional		$855.86	$855.86	$855.86
United Facility/Professional Facility Modifier Low / Median / High Price $188.10 / $188.10 / $188.10	Facility		$188.10	$188.10	$188.10
United Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $94.05 / $415.72	Professional		$70.54	$94.05	$415.72