Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Facility		$142.06	$142.06	$142.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $142.06 / $151.72	Professional		$137.93	$142.06	$151.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $206.89	Professional		$137.93	$137.93	$206.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.84 / $219.31 / $220.69	Facility		$188.84	$219.31	$220.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.88 / $378.47 / $536.41	Facility		$206.88	$378.47	$536.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $163.13 / $206.04	Professional		$134.41	$163.13	$206.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $142.06 / $217.35	Facility		$108.60	$142.06	$217.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $111.86 / $171.15	Facility		$108.60	$111.86	$171.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $108.60 / $305.04	Professional		$108.60	$108.60	$305.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $142.06 / $217.35	Facility		$108.60	$142.06	$217.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $198.52 / $569.45	Professional		$137.93	$198.52	$569.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.08 / $170.37 / $1,027.45	Facility		$128.08	$170.37	$1,027.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $329.31 / $1,027.45	Professional		$137.93	$329.31	$1,027.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.65 / $193.65 / $193.65	Professional		$193.65	$193.65	$193.65
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $188.85	Professional		$137.93	$137.93	$188.85