Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $234.24 / $312.32	Facility		$156.16	$234.24	$312.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $365.83	Professional		$162.97	$162.97	$365.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $173.28 / $216.60	Professional		$173.28	$173.28	$216.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.77 / $260.77 / $340.63	Facility		$260.77	$260.77	$340.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.14 / $363.03 / $518.92	Facility		$200.14	$363.03	$518.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $317.77 / $361.10	Professional		$164.74	$317.77	$361.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $156.16 / $253.30	Facility		$114.47	$156.16	$253.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $325.95 / $325.95	Professional		$325.95	$325.95	$325.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $156.16 / $253.30	Facility		$114.47	$156.16	$253.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $195.89 / $325.95	Professional		$163.24	$195.89	$325.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $156.96	Professional		$65.00	$85.00	$156.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $156.16 / $253.30	Facility		$114.47	$156.16	$253.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $325.95 / $325.95	Professional		$325.95	$325.95	$325.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $243.29 / $464.00	Professional		$162.97	$243.29	$464.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $662.03	Facility		$203.81	$203.81	$662.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $228.82 / $228.82	Professional		$190.44	$228.82	$228.82
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $184.17 / $267.29	Professional		$162.97	$184.17	$267.29