Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $270.60 / $409.97	Facility		$169.96	$270.60	$409.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $189.16 / $494.40	Professional		$160.00	$189.16	$494.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $340.18	Professional		$170.09	$170.09	$340.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.87 / $507.87 / $507.87	Facility		$507.87	$507.87	$507.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $354.72 / $507.05	Facility		$186.76	$354.72	$507.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $172.74 / $186.09	Professional		$152.01	$172.74	$186.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.03 / $199.95 / $559.58	Facility		$138.03	$199.95	$559.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.03 / $272.83 / $348.73	Facility		$138.03	$272.83	$348.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $188.43 / $266.80	Professional		$166.75	$188.43	$266.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $65.00 / $442.24	Professional		$10.99	$65.00	$442.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.03 / $199.95 / $559.58	Facility		$138.03	$199.95	$559.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $605.47 / $863.50	Professional		$207.33	$605.47	$863.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.51 / $707.51 / $707.51	Facility		$707.51	$707.51	$707.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.32 / $158.32 / $158.32	Professional		$158.32	$158.32	$158.32
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $188.43 / $273.47	Professional		$166.75	$188.43	$273.47