Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $229.53 / $261.20	Facility		$134.83	$229.53	$261.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $134.83 / $280.50	Professional		$134.83	$134.83	$280.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $135.08 / $160.66	Professional		$135.08	$135.08	$160.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.05 / $152.05 / $152.05	Facility		$152.05	$152.05	$152.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $301.11 / $430.42	Facility		$148.32	$301.11	$430.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $148.32 / $166.53	Professional		$130.16	$148.32	$166.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $134.83 / $167.51	Facility		$87.30	$134.83	$167.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $134.83 / $167.51	Facility		$87.30	$134.83	$167.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $149.65 / $211.89	Professional		$132.43	$149.65	$211.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $372.37	Professional		$55.00	$65.00	$372.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $134.83 / $167.51	Facility		$87.30	$134.83	$167.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $186.12 / $258.50	Professional		$120.11	$186.12	$258.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $566.78 / $566.78 / $566.78	Facility		$566.78	$566.78	$566.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $133.80 / $293.39	Professional		$113.73	$133.80	$293.39
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $149.65 / $211.89	Professional		$132.43	$149.65	$211.89