Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $222.24 / $222.24	Facility		$222.24	$222.24	$222.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $174.09 / $222.24	Professional		$142.60	$174.09	$222.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $228.90 / $793.25	Professional		$194.56	$228.90	$793.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.02 / $282.02 / $282.02	Facility		$282.02	$282.02	$282.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.03 / $596.02 / $914.30	Facility		$510.03	$596.02	$914.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $498.71 / $566.71	Professional		$219.50	$498.71	$566.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.60 / $222.24 / $648.20	Facility		$142.60	$222.24	$648.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.60 / $222.24 / $648.20	Facility		$142.60	$222.24	$648.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $111.12 / $571.13	Professional		$92.60	$111.12	$571.13
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 $142.60 / $222.24 / $648.20	Facility		$142.60	$222.24	$648.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $441.95 / $619.87	Professional		$309.42	$441.95	$619.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $879.70 / $879.70	Facility		$370.40	$879.70	$879.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $740.80 / $740.80 / $922.30	Professional		$740.80	$740.80	$922.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $394.39 / $394.39	Professional		$394.39	$394.39	$394.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $538.23 / $1,011.19 / $1,011.19	Professional		$538.23	$1,011.19	$1,011.19
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $344.73	Professional		$77.78	$111.12	$344.73