Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $132.29 / $193.26	Professional		$108.36	$132.29	$193.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $226.58 / $602.78	Professional		$79.73	$226.58	$602.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.98 / $413.98 / $436.24	Facility		$413.98	$413.98	$436.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.80 / $514.54 / $730.36	Facility		$452.80	$514.54	$730.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $205.61 / $468.31	Professional		$152.30	$205.61	$468.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $168.88 / $492.56	Facility		$108.36	$168.88	$492.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $189.99 / $600.13	Facility		$108.36	$189.99	$600.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $193.35 / $1,157.24	Professional		$91.47	$193.35	$1,157.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $168.88 / $492.56	Facility		$108.36	$168.88	$492.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $335.52 / $487.94	Professional		$175.71	$335.52	$487.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $335.60 / $335.60 / $672.24	Facility		$335.60	$335.60	$672.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.92 / $703.65 / $1,157.24	Professional		$190.92	$703.65	$1,157.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $299.69	Professional		$18.70	$18.70	$299.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $198.55 / $768.39	Professional		$18.70	$198.55	$768.39
United Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $140.72 / $405.30	Professional		$91.47	$140.72	$405.30