Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $156.75 / $244.80	Facility		$73.48	$156.75	$244.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $156.75	Professional		$73.48	$73.48	$156.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $30.94 / $184.65	Professional		$28.12	$30.94	$184.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $84.35 / $178.54	Facility		$70.29	$84.35	$178.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $73.80 / $90.77	Professional		$70.29	$73.80	$90.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.31 / $201.52 / $287.38	Facility		$160.31	$201.52	$287.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $189.28 / $215.09	Professional		$83.21	$189.28	$215.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $77.31 / $246.02	Facility		$73.48	$77.31	$246.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $84.35 / $246.02	Facility		$73.48	$84.35	$246.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $49.15 / $241.19	Professional		$37.70	$49.15	$241.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $77.31 / $246.02	Facility		$73.48	$77.31	$246.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $167.37 / $234.75	Professional		$126.12	$167.37	$234.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $140.58 / $333.88 / $333.88	Facility		$140.58	$333.88	$333.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.16 / $350.04 / $350.04	Professional		$281.16	$350.04	$350.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $30.94 / $65.89	Professional		$30.94	$30.94	$65.89
Security Health Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $76.31 / $76.31	Facility		$76.31	$76.31	$76.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $369.02 / $369.02	Professional		$30.94	$369.02	$369.02
United Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $46.65 / $140.78	Professional		$33.07	$46.65	$140.78