Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.66 / $145.83 / $216.80	Facility		$116.66	$145.83	$216.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $92.36 / $147.77	Professional		$74.86	$92.36	$147.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.02 / $252.77 / $267.36	Facility		$209.02	$252.77	$267.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $97.22 / $416.41	Professional		$38.89	$97.22	$416.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.60 / $237.60 / $246.94	Facility		$237.60	$237.60	$246.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.63 / $312.75 / $479.77	Facility		$267.63	$312.75	$479.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $261.79 / $297.49	Professional		$111.92	$261.79	$297.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $116.66 / $340.27	Facility		$74.86	$116.66	$340.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $116.66 / $340.27	Facility		$87.50	$116.66	$340.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $58.33 / $349.99	Professional		$48.61	$58.33	$349.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $268.33	Professional		$50.00	$70.00	$268.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $116.66 / $340.27	Facility		$74.86	$116.66	$340.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $237.43 / $325.62	Professional		$184.82	$237.43	$325.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.44 / $461.80 / $461.80	Facility		$194.44	$461.80	$461.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $486.10 / $486.10	Professional		$140.97	$486.10	$486.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $207.03 / $207.03	Professional		$207.03	$207.03	$207.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $282.54 / $530.82 / $530.82	Professional		$282.54	$530.82	$530.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $58.33 / $180.97	Professional		$42.26	$58.33	$180.97