Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $131.05 / $3,119.00	Facility		$63.85	$131.05	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $131.05 / $363.79	Professional		$63.85	$131.05	$363.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $156.37 / $429.56	Professional		$99.94	$156.37	$429.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $69.11 / $87.63	Facility		$57.59	$69.11	$87.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $120.15 / $158.13	Professional		$114.43	$120.15	$158.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.56 / $430.69 / $660.69	Facility		$368.56	$430.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $266.00 / $615.53	Professional		$114.47	$266.00	$615.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $131.05 / $255.40	Facility		$63.85	$131.05	$255.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.04 / $147.53 / $1,449.00	Facility		$66.04	$147.53	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $292.27 / $1,029.70	Professional		$159.90	$292.27	$1,029.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $100.37 / $238.81	Professional		$58.91	$100.37	$238.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $131.05 / $255.40	Facility		$63.85	$131.05	$255.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $272.16 / $424.95	Professional		$137.29	$272.16	$424.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $277.89 / $277.89 / $277.89	Facility		$277.89	$277.89	$277.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $524.52 / $1,236.00	Professional		$156.07	$524.52	$1,236.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $423.73 / $811.06	Professional		$266.61	$423.73	$811.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $275.95 / $604.57	Professional		$154.77	$275.95	$604.57