Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.66 / $252.66 / $6,404.70	Facility		$252.66	$252.66	$6,404.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $252.66 / $269.83	Professional		$245.30	$252.66	$269.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $380.21	Professional		$245.30	$245.30	$380.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $363.04 / $392.48	Facility		$335.84	$363.04	$392.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.76 / $599.61 / $849.85	Facility		$327.76	$599.61	$849.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $314.58 / $435.56	Professional		$245.30	$314.58	$435.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $252.66 / $386.57	Facility		$241.87	$252.66	$386.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $249.12 / $381.15	Facility		$241.87	$249.12	$381.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $241.87 / $507.93	Professional		$241.87	$241.87	$507.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $159.86	Professional		$50.00	$70.00	$159.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $252.66 / $386.57	Facility		$241.87	$252.66	$386.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $282.10 / $594.00	Professional		$245.30	$282.10	$594.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $328.59 / $1,071.67	Facility		$247.02	$328.59	$1,071.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $343.49 / $1,071.67	Professional		$245.30	$343.49	$1,071.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $344.40 / $344.40 / $344.40	Professional		$344.40	$344.40	$344.40
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $318.89	Professional		$245.30	$245.30	$318.89