Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $162.65 / $162.65	Professional		$141.88	$162.65	$162.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $304.00 / $692.12	Professional		$173.03	$304.00	$692.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $263.32	Facility		$173.03	$173.03	$263.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.79 / $556.00 / $852.92	Facility		$475.79	$556.00	$852.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $465.94 / $529.48	Professional		$199.07	$465.94	$529.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $141.88 / $207.64	Facility		$89.98	$141.88	$207.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $155.72 / $821.89	Facility		$89.98	$155.72	$821.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $173.03 / $363.36	Professional		$100.36	$173.03	$363.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $86.52	Professional		$85.00	$85.00	$86.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $141.88 / $207.64	Facility		$89.98	$141.88	$207.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.30 / $412.65 / $588.50	Professional		$203.30	$412.65	$588.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.06 / $346.06 / $821.89	Facility		$346.06	$346.06	$821.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $368.55 / $368.55 / $368.55	Professional		$368.55	$368.55	$368.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $944.74 / $944.74 / $944.74	Professional		$944.74	$944.74	$944.74
United Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $138.41 / $363.36	Professional		$86.52	$138.41	$363.36