Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $105.30 / $105.30	Professional		$91.86	$105.30	$105.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $448.08	Professional		$6.91	$6.91	$448.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $112.02 / $170.30	Facility		$112.02	$112.02	$170.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.18 / $360.14 / $552.46	Facility		$308.18	$360.14	$552.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $301.64 / $342.78	Professional		$128.44	$301.64	$342.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.25 / $100.82 / $143.38	Facility		$58.25	$100.82	$143.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.25 / $112.02 / $532.10	Facility		$58.25	$112.02	$532.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $112.02 / $235.24	Professional		$64.97	$112.02	$235.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $85.00	Professional		$50.00	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.25 / $100.82 / $143.38	Facility		$58.25	$100.82	$143.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $266.87 / $380.60	Professional		$131.47	$266.87	$380.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $224.04 / $532.10	Facility		$224.04	$224.04	$532.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $238.55 / $238.55 / $238.55	Professional		$238.55	$238.55	$238.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $611.63 / $611.63 / $611.63	Professional		$611.63	$611.63	$611.63
United Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $89.62 / $297.08	Professional		$64.97	$89.62	$297.08