Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.34 / $151.68 / $225.50	Facility		$121.34	$151.68	$225.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $121.34 / $300.00	Professional		$77.86	$121.34	$300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.41 / $262.91 / $278.08	Facility		$217.41	$262.91	$278.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $101.12 / $433.11	Professional		$40.45	$101.12	$433.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $267.72 / $267.72	Facility		$256.83	$267.72	$267.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.45 / $325.39 / $499.15	Facility		$278.45	$325.39	$499.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $272.29 / $309.43	Professional		$116.47	$272.29	$309.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $121.34 / $353.92	Facility		$77.86	$121.34	$353.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $121.34 / $353.92	Facility		$91.01	$121.34	$353.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $60.67 / $311.83	Professional		$50.56	$60.67	$311.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $279.08	Professional		$50.00	$70.00	$279.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $121.34 / $353.92	Facility		$77.86	$121.34	$353.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $246.89 / $338.60	Professional		$192.34	$246.89	$338.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $655.68 / $655.68 / $655.68	Facility		$655.68	$655.68	$655.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $505.60 / $505.60	Professional		$146.62	$505.60	$505.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $215.34 / $215.34 / $215.34	Professional		$215.34	$215.34	$215.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $552.12 / $552.12	Professional		$293.88	$552.12	$552.12
United Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $60.67 / $212.35	Professional		$43.96	$60.67	$212.35