Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $209.52 / $525.74	Facility		$100.14	$209.52	$525.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $111.54 / $300.00	Professional		$86.45	$111.54	$300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $97.10 / $113.79	Professional		$95.20	$97.10	$113.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.81 / $82.81 / $82.81	Facility		$82.81	$82.81	$82.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $220.69 / $315.47	Facility		$106.62	$220.69	$315.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $90.81 / $115.78	Professional		$79.92	$90.81	$115.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $91.25 / $113.79	Facility		$47.54	$91.25	$113.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $113.79 / $216.22	Facility		$47.54	$113.79	$216.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $107.58 / $152.32	Professional		$95.20	$107.58	$152.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $65.00 / $261.32	Professional		$10.99	$65.00	$261.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $91.25 / $113.79	Facility		$47.54	$91.25	$113.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $101.38 / $140.80	Professional		$65.42	$101.38	$140.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $414.53 / $414.53 / $414.53	Facility		$414.53	$414.53	$414.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $75.25 / $75.25	Professional		$75.25	$75.25	$75.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $109.16 / $154.56	Professional		$95.20	$109.16	$154.56