Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $141.28 / $206.40	Professional		$115.73	$141.28	$206.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $241.98 / $643.77	Professional		$83.43	$241.98	$643.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.23 / $433.23 / $456.53	Facility		$433.23	$433.23	$456.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.34 / $549.25 / $779.61	Facility		$483.34	$549.25	$779.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $219.77 / $500.16	Professional		$162.94	$219.77	$500.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $217.80 / $526.04	Facility		$135.27	$217.80	$526.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $217.80 / $627.87	Facility		$135.27	$217.80	$627.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $202.31 / $1,210.74	Professional		$97.70	$202.31	$1,210.74
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 $135.27 / $217.80 / $526.04	Facility		$135.27	$217.80	$526.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $358.65 / $521.59	Professional		$162.51	$358.65	$521.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $351.15 / $351.15 / $713.93	Facility		$351.15	$351.15	$713.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.77 / $751.50 / $1,210.74	Professional		$199.77	$751.50	$1,210.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $104.95 / $320.07	Professional		$104.95	$104.95	$320.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $244.20 / $820.64	Professional		$104.95	$244.20	$820.64
United Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $150.30 / $424.58	Professional		$109.89	$150.30	$424.58