Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $82.05 / $337.40	Professional		$63.32	$82.05	$337.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $308.45 / $564.89	Professional		$42.05	$308.45	$564.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.69 / $76.69 / $114.60	Facility		$76.69	$76.69	$114.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $90.62 / $133.80	Professional		$88.74	$90.62	$133.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $342.23 / $485.77	Facility		$301.17	$342.23	$485.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $121.71 / $260.89	Professional		$43.20	$121.71	$260.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $108.74 / $237.64	Facility		$61.02	$108.74	$237.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $108.74 / $268.83	Facility		$61.02	$108.74	$268.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $155.61 / $604.04	Professional		$74.89	$155.61	$604.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $70.00 / $283.14	Professional		$45.31	$70.00	$283.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $108.74 / $237.64	Facility		$61.02	$108.74	$237.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $221.36 / $313.72	Professional		$132.30	$221.36	$313.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $156.80 / $370.89	Facility		$156.80	$156.80	$370.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $422.65 / $604.04	Professional		$46.37	$422.65	$604.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $248.78 / $449.38	Professional		$153.99	$248.78	$449.38
United Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $96.86 / $263.93	Professional		$68.98	$96.86	$263.93