Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $132.30 / $196.69	Facility		$105.84	$132.30	$196.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $83.79 / $134.06	Professional		$67.91	$83.79	$134.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.63 / $229.32 / $242.55	Facility		$189.63	$229.32	$242.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $88.20 / $377.77	Professional		$35.28	$88.20	$377.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.56 / $215.56 / $224.03	Facility		$215.56	$215.56	$224.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.40 / $283.27 / $434.54	Facility		$242.40	$283.27	$434.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $237.50 / $269.89	Professional		$101.60	$237.50	$269.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.91 / $105.84 / $308.70	Facility		$67.91	$105.84	$308.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.38 / $105.84 / $308.70	Facility		$79.38	$105.84	$308.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $52.92 / $272.00	Professional		$44.10	$52.92	$272.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $243.43	Professional		$50.00	$70.00	$243.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.91 / $105.84 / $308.70	Facility		$67.91	$105.84	$308.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $215.34 / $295.33	Professional		$167.70	$215.34	$295.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $176.40 / $418.95 / $418.95	Facility		$176.40	$418.95	$418.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $441.00 / $441.00	Professional		$127.89	$441.00	$441.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $187.83 / $187.83 / $187.83	Professional		$187.83	$187.83	$187.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $256.33 / $481.57 / $481.57	Professional		$256.33	$481.57	$481.57
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.92 / $164.18	Professional		$37.04	$52.92	$164.18