Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $107.56 / $107.56	Professional		$93.83	$107.56	$107.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $193.39 / $492.39	Professional		$69.80	$193.39	$492.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $174.23	Facility		$114.43	$114.43	$174.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.49 / $367.51 / $563.77	Facility		$314.49	$367.51	$563.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $308.13 / $350.15	Professional		$131.75	$308.13	$350.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $93.83 / $137.32	Facility		$59.50	$93.83	$137.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $102.99 / $543.54	Facility		$59.50	$102.99	$543.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $114.43 / $240.30	Professional		$66.37	$114.43	$240.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $85.00 / $85.00	Professional		$57.22	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $93.83 / $137.32	Facility		$59.50	$93.83	$137.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $273.04 / $389.40	Professional		$134.52	$273.04	$389.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $228.86 / $228.86 / $543.54	Facility		$228.86	$228.86	$543.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $243.74 / $243.74 / $243.74	Professional		$243.74	$243.74	$243.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $624.79 / $624.79 / $624.79	Professional		$624.79	$624.79	$624.79
United Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $91.54 / $240.30	Professional		$57.22	$91.54	$240.30