Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.90 / $800.29 / $1,037.76	Facility		$190.90	$800.29	$1,037.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $134.91 / $255.82	Professional		$57.03	$134.91	$255.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $190.90 / $681.43	Professional		$77.70	$190.90	$681.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $93.18 / $147.56	Facility		$26.01	$93.18	$147.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $120.41 / $154.79	Professional		$34.38	$120.41	$154.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $230.61 / $353.77	Facility		$197.35	$230.61	$353.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $456.20 / $518.41	Professional		$111.14	$456.20	$518.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $149.93 / $235.42	Facility		$87.08	$149.93	$235.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.24 / $184.17 / $469.58	Facility		$93.24	$184.17	$469.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $205.38 / $810.52	Professional		$98.52	$205.38	$810.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $220.60	Professional		$50.00	$85.00	$220.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.24 / $149.93 / $235.42	Facility		$93.24	$149.93	$235.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $299.74 / $411.08	Professional		$121.16	$299.74	$411.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.27 / $575.27 / $575.27	Facility		$575.27	$575.27	$575.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $550.79 / $810.52	Professional		$189.73	$550.79	$810.52
United Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $169.58 / $398.31	Professional		$98.52	$169.58	$398.31