Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $135.86 / $135.86	Facility		$135.86	$135.86	$135.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $135.86 / $145.09	Professional		$131.90	$135.86	$145.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $197.85	Professional		$131.90	$131.90	$197.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.58 / $209.72 / $211.04	Facility		$180.58	$209.72	$211.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.25 / $370.00 / $524.41	Facility		$202.25	$370.00	$524.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $170.20 / $287.70	Professional		$131.90	$170.20	$287.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $138.12 / $207.87	Facility		$131.90	$138.12	$207.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $147.13 / $264.85	Facility		$142.86	$147.13	$264.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $142.86 / $452.71	Professional		$142.86	$142.86	$452.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $138.12 / $207.87	Facility		$131.90	$138.12	$207.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $165.02 / $353.23	Professional		$131.90	$165.02	$353.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $382.50 / $637.37	Facility		$133.66	$382.50	$637.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $206.74 / $2,287.69	Professional		$131.90	$206.74	$2,287.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $185.19 / $185.19	Professional		$185.19	$185.19	$185.19
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $171.47	Professional		$131.90	$131.90	$171.47