Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $126.08 / $126.08	Professional		$107.30	$126.08	$126.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $279.68 / $547.14	Professional		$160.94	$279.68	$547.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.27 / $204.27 / $204.27	Facility		$204.27	$204.27	$204.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.46 / $431.74 / $662.30	Facility		$369.46	$431.74	$662.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $361.19 / $410.44	Professional		$159.10	$361.19	$410.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $160.96 / $469.46	Facility		$103.28	$160.96	$469.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $160.96 / $469.46	Facility		$103.28	$160.96	$469.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $80.48 / $413.64	Professional		$67.06	$80.48	$413.64
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 $103.28 / $160.96 / $469.46	Facility		$103.28	$160.96	$469.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $320.08 / $448.95	Professional		$224.10	$320.08	$448.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $268.26 / $637.12 / $637.12	Facility		$268.26	$637.12	$637.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $536.52 / $536.52 / $667.97	Professional		$536.52	$536.52	$667.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $285.70 / $285.70	Professional		$285.70	$285.70	$285.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $732.35 / $732.35 / $732.35	Professional		$732.35	$732.35	$732.35
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $249.67	Professional		$56.33	$80.48	$249.67