Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.57 / $200.57 / $200.57	Facility		$200.57	$200.57	$200.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $200.57 / $252.06	Professional		$98.88	$200.57	$252.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $222.70 / $272.98	Professional		$215.51	$222.70	$272.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.44 / $512.44 / $512.44	Facility		$512.44	$512.44	$512.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.40 / $751.86 / $854.39	Facility		$643.40	$751.86	$854.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $346.88 / $453.20	Professional		$114.94	$346.88	$453.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $197.33 / $203.54 / $251.43	Facility		$197.33	$203.54	$251.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.89 / $227.92 / $300.27	Facility		$174.89	$227.92	$300.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $119.47 / $223.13	Professional		$99.56	$119.47	$223.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $200.57 / $251.43	Facility		$176.00	$200.57	$251.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.46 / $368.53 / $695.29	Professional		$239.46	$368.53	$695.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $486.10 / $486.10 / $1,285.08	Facility		$486.10	$486.10	$1,285.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $1,052.33 / $1,580.44	Professional		$114.94	$1,052.33	$1,580.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $239.46 / $239.46 / $239.46	Professional		$239.46	$239.46	$239.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $182.10 / $239.46	Professional		$182.10	$182.10	$239.46
United Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $119.47 / $199.11	Professional		$93.54	$119.47	$199.11