Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $138.66 / $195.80	Professional		$113.59	$138.66	$195.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $237.51 / $631.85	Professional		$83.58	$237.51	$631.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.96 / $433.96 / $457.31	Facility		$433.96	$433.96	$457.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.92 / $539.67 / $766.02	Facility		$474.92	$539.67	$766.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $215.05 / $490.91	Professional		$159.63	$215.05	$490.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.59 / $177.02 / $516.32	Facility		$113.59	$177.02	$516.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.59 / $199.15 / $629.04	Facility		$113.59	$199.15	$629.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $202.68 / $1,213.06	Professional		$95.89	$202.68	$1,213.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $280.29	Professional		$50.00	$70.00	$280.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.59 / $177.02 / $516.32	Facility		$113.59	$177.02	$516.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $359.69 / $517.83	Professional		$273.60	$359.69	$517.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $351.78 / $351.78 / $1,039.28	Facility		$351.78	$351.78	$1,039.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $737.60 / $1,213.06	Professional		$200.15	$737.60	$1,213.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $314.14 / $325.89	Professional		$314.14	$314.14	$325.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $325.89 / $805.46	Professional		$244.20	$325.89	$805.46
United Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $147.52 / $416.73	Professional		$95.89	$147.52	$416.73