Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $96.42 / $705.50	Professional		$61.43	$96.42	$705.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $248.49 / $541.32	Professional		$40.98	$248.49	$541.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.79 / $76.79 / $114.92	Facility		$76.79	$76.79	$114.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $76.79 / $115.46	Professional		$75.93	$76.79	$115.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.78 / $288.39 / $409.34	Facility		$253.78	$288.39	$409.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $105.94 / $248.28	Professional		$40.81	$105.94	$248.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $96.42 / $329.77	Facility		$73.89	$96.42	$329.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $103.67 / $345.30	Facility		$73.89	$103.67	$345.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $150.93 / $1,168.46	Professional		$68.28	$150.93	$1,168.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $65.00 / $284.77	Professional		$38.40	$65.00	$284.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $96.42 / $329.77	Facility		$73.89	$96.42	$329.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $193.26 / $274.82	Professional		$147.00	$193.26	$274.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $427.50	Facility		$171.15	$171.15	$427.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $511.97 / $1,168.46	Professional		$43.35	$511.97	$1,168.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $270.58 / $423.31	Professional		$270.58	$270.58	$423.31
United Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $97.84 / $277.39	Professional		$66.73	$97.84	$277.39