Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $196.80 / $334.07	Facility		$67.59	$196.80	$334.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $55.10 / $122.40	Professional		$53.10	$55.10	$122.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $186.74	Professional		$56.50	$56.50	$186.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $45.67 / $63.94	Facility		$43.18	$45.67	$63.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $186.37 / $294.00	Facility		$56.42	$186.37	$294.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $101.88 / $115.78	Professional		$56.42	$101.88	$115.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $56.42 / $71.69	Facility		$53.10	$56.42	$71.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $179.37 / $502.20	Facility		$53.10	$179.37	$502.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $118.65	Professional		$56.50	$56.50	$118.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $55.00 / $85.00	Professional		$29.22	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $57.64 / $135.58	Facility		$53.10	$57.64	$135.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $131.88 / $194.19	Professional		$1.97	$131.88	$194.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $248.93 / $248.93	Facility		$248.93	$248.93	$248.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $70.36 / $252.24	Professional		$56.42	$70.36	$252.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $74.68 / $74.68	Professional		$74.68	$74.68	$74.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $240.44 / $240.44	Professional		$71.01	$240.44	$240.44
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $90.40	Professional		$56.50	$56.50	$90.40