Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $146.08 / $215.63	Professional		$110.69	$146.08	$215.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $231.44 / $615.70	Professional		$71.56	$231.44	$615.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $172.50 / $401.06	Facility		$143.75	$172.50	$401.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $143.75 / $185.70	Professional		$143.75	$143.75	$185.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.28 / $525.32 / $745.64	Facility		$462.28	$525.32	$745.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $209.80 / $478.36	Professional		$155.61	$209.80	$478.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $172.50 / $510.02	Facility		$129.38	$172.50	$510.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $194.06 / $538.83	Facility		$129.38	$194.06	$538.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $178.90 / $1,038.57	Professional		$96.54	$178.90	$1,038.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $273.13	Professional		$50.00	$70.00	$273.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $172.50 / $510.02	Facility		$129.38	$172.50	$510.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $342.46 / $498.03	Professional		$98.81	$342.46	$498.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $301.18 / $301.18 / $682.81	Facility		$301.18	$301.18	$682.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $718.75 / $1,038.57	Professional		$171.35	$718.75	$1,038.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $257.50 / $257.50 / $306.12	Professional		$257.50	$257.50	$306.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $257.50 / $784.88	Professional		$244.20	$257.50	$784.88
United Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $143.75 / $406.08	Professional		$93.44	$143.75	$406.08