Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.35 / $130.44 / $193.92	Facility		$104.35	$130.44	$193.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $82.61 / $545.24	Professional		$71.31	$82.61	$545.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.96 / $226.10 / $239.14	Facility		$186.96	$226.10	$239.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $53.04 / $359.79	Professional		$42.94	$53.04	$359.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $245.41 / $255.81	Facility		$58.00	$245.41	$255.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.70 / $280.11 / $429.69	Facility		$239.70	$280.11	$429.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $234.17 / $266.10	Professional		$99.95	$234.17	$266.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $67.53 / $104.35	Facility		$61.41	$67.53	$104.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $71.31 / $413.06	Facility		$61.41	$71.31	$413.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $86.96 / $240.88	Professional		$51.01	$86.96	$240.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $74.13 / $170.47	Professional		$43.48	$74.13	$170.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $67.53 / $104.35	Facility		$61.41	$67.53	$104.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $213.05 / $295.89	Professional		$106.28	$213.05	$295.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.92 / $173.92 / $413.06	Facility		$173.92	$173.92	$413.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $54.71 / $97.75	Professional		$46.09	$54.71	$97.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $89.46 / $185.19	Professional		$89.46	$89.46	$185.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $346.65 / $474.80	Professional		$89.46	$346.65	$474.80
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $71.70 / $238.31	Professional		$44.00	$71.70	$238.31