Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.73 / $248.42 / $369.31	Facility		$198.73	$248.42	$369.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $157.33 / $224.54	Professional		$135.80	$157.33	$224.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.06 / $430.59 / $455.43	Facility		$356.06	$430.59	$455.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $77.77 / $662.44	Professional		$66.72	$77.77	$662.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.63 / $420.65 / $438.46	Facility		$110.63	$420.65	$438.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.97 / $532.83 / $817.38	Facility		$455.97	$532.83	$817.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $445.95 / $506.76	Professional		$190.39	$445.95	$506.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $60.29 / $198.73	Facility		$51.04	$60.29	$198.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $135.80 / $786.65	Facility		$51.04	$135.80	$786.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $110.42 / $300.22	Professional		$47.87	$110.42	$300.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $248.42	Professional		$55.00	$85.00	$248.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $60.29 / $198.73	Facility		$51.04	$60.29	$198.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $405.50 / $553.88	Professional		$194.56	$405.50	$553.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.22 / $331.22 / $786.65	Facility		$331.22	$331.22	$786.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $91.13 / $152.90	Professional		$86.32	$91.13	$152.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $58.79 / $352.67	Professional		$58.79	$58.79	$352.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $270.97 / $904.23	Professional		$58.79	$270.97	$904.23
United Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $99.37 / $308.27	Professional		$58.00	$99.37	$308.27