Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $129.85	Facility		$127.55	$127.55	$129.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $135.00 / $423.57	Professional		$95.00	$135.00	$423.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $122.46 / $143.32	Professional		$122.46	$122.46	$143.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.86 / $124.86 / $124.86	Facility		$124.86	$124.86	$124.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $272.52 / $389.55	Facility		$134.47	$272.52	$389.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $119.89 / $142.97	Professional		$117.81	$119.89	$142.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $127.55 / $143.32	Facility		$71.69	$127.55	$143.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $137.58 / $201.80	Facility		$71.69	$137.58	$201.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $192.10	Professional		$120.06	$134.99	$192.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $65.00 / $234.28	Professional		$15.00	$65.00	$234.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $127.55 / $143.32	Facility		$71.69	$127.55	$143.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $152.86 / $212.30	Professional		$98.64	$152.86	$212.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $512.54 / $512.54 / $512.54	Facility		$512.54	$512.54	$512.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $115.90 / $139.26	Professional		$110.06	$115.90	$139.26
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $207.12	Professional		$120.06	$134.99	$207.12