Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.37 / $159.21 / $236.69	Facility		$127.37	$159.21	$236.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $100.83 / $253.11	Professional		$87.03	$100.83	$253.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.20 / $275.95 / $291.89	Facility		$228.20	$275.95	$291.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $432.98	Professional		$42.46	$42.46	$432.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $259.39 / $269.60	Facility		$79.31	$259.39	$269.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.95 / $341.18 / $523.38	Facility		$291.95	$341.18	$523.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $285.81 / $324.79	Professional		$121.84	$285.81	$324.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $61.96 / $127.37	Facility		$57.35	$61.96	$127.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $87.03 / $504.17	Facility		$57.35	$87.03	$504.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $84.91 / $191.05	Professional		$52.99	$84.91	$191.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $85.00 / $159.21	Professional		$53.07	$85.00	$159.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $61.96 / $127.37	Facility		$57.35	$61.96	$127.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $252.99 / $354.83	Professional		$124.64	$252.99	$354.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $212.28 / $212.28 / $504.17	Facility		$212.28	$212.28	$504.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $43.05 / $62.99	Professional		$42.46	$43.05	$62.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $66.23 / $226.03	Professional		$66.23	$66.23	$226.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $66.23 / $579.52	Professional		$66.23	$66.23	$579.52
United Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $70.66 / $191.05	Professional		$52.99	$70.66	$191.05