Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.53 / $329.67 / $1,056.78	Facility		$186.53	$329.67	$1,056.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $195.83 / $488.71	Professional		$158.40	$195.83	$488.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $186.66 / $219.45	Professional		$167.99	$186.66	$219.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.64 / $121.64 / $121.64	Facility		$121.64	$121.64	$121.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $415.48 / $593.90	Facility		$215.17	$415.48	$593.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $133.56 / $217.97	Professional		$117.54	$133.56	$217.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $134.01 / $219.45	Facility		$69.84	$134.01	$219.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $219.45 / $254.00	Facility		$69.84	$219.45	$254.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $206.79 / $292.80	Professional		$183.00	$206.79	$292.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $450.99	Professional		$85.00	$85.00	$450.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $134.01 / $219.45	Facility		$69.84	$134.01	$219.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $148.90 / $206.80	Professional		$96.09	$148.90	$206.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $783.90 / $783.90 / $783.90	Facility		$783.90	$783.90	$783.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $124.58 / $124.58	Professional		$118.58	$124.58	$124.58
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $217.10 / $315.08	Professional		$192.12	$217.10	$315.08