Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $862.56 / $6,185.71	Facility		$155.69	$862.56	$6,185.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $155.69 / $207.60	Professional		$151.16	$155.69	$207.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $241.87	Professional		$151.16	$151.16	$241.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.97 / $223.73 / $241.87	Facility		$206.97	$223.73	$241.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.11 / $388.02 / $549.96	Facility		$212.11	$388.02	$549.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $201.66 / $293.80	Professional		$151.16	$201.66	$293.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $152.68 / $238.22	Facility		$150.33	$152.68	$238.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $154.84 / $278.70	Facility		$150.33	$154.84	$278.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $382.84	Professional		$150.33	$150.33	$382.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $160.02	Professional		$50.00	$70.00	$160.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $151.16 / $238.22	Facility		$150.33	$151.16	$238.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $174.16 / $387.29	Professional		$151.16	$174.16	$387.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.33 / $340.68 / $699.05	Facility		$158.33	$340.68	$699.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $224.06 / $699.05	Professional		$151.16	$224.06	$699.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $179.85 / $212.24 / $235.67	Professional		$179.85	$212.24	$235.67
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $215.03	Professional		$151.16	$151.16	$215.03