Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $639.79	Professional		$9.64	$9.64	$639.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $159.94 / $243.14	Facility		$159.94	$159.94	$243.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.75 / $513.88 / $788.30	Facility		$439.75	$513.88	$788.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $430.72 / $489.45	Professional		$183.79	$430.72	$489.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $131.16 / $191.94	Facility		$83.17	$131.16	$191.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $143.96 / $759.76	Facility		$83.17	$143.96	$759.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $159.94 / $335.90	Professional		$92.77	$159.94	$335.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $85.00 / $85.00	Professional		$79.98	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $131.16 / $191.94	Facility		$83.17	$131.16	$191.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $381.02 / $543.40	Professional		$187.72	$381.02	$543.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $319.89 / $319.89 / $759.76	Facility		$319.89	$319.89	$759.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.69 / $340.69 / $340.69	Professional		$340.69	$340.69	$340.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $873.33 / $873.33 / $873.33	Professional		$873.33	$873.33	$873.33
United Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $127.96 / $127.96	Facility		$127.96	$127.96	$127.96
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $127.96 / $297.73	Professional		$79.98	$127.96	$297.73