Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $141.72 / $218.04	Facility		$73.79	$141.72	$218.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $92.27 / $193.04	Professional		$71.84	$92.27	$193.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $82.95 / $100.11	Professional		$81.16	$82.95	$100.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.06 / $154.22 / $154.22	Facility		$118.06	$154.22	$154.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.78 / $171.11 / $244.58	Facility		$93.78	$171.11	$244.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $154.51 / $175.58	Professional		$75.73	$154.51	$175.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $72.68 / $105.48	Facility		$48.53	$72.68	$105.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.58 / $147.58 / $147.58	Professional		$147.58	$147.58	$147.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $72.68 / $195.30	Facility		$59.01	$72.68	$195.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $97.09 / $147.58	Professional		$83.74	$97.09	$147.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $72.16 / $97.87	Professional		$65.00	$72.16	$97.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $72.68 / $105.48	Facility		$48.53	$72.68	$105.48
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $147.58 / $147.58 / $147.58	Professional		$147.58	$147.58	$147.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $111.84 / $221.00	Professional		$73.79	$111.84	$221.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.18 / $316.18 / $316.18	Facility		$316.18	$316.18	$316.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $93.78	Professional		$93.78	$93.78	$93.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $103.60 / $103.60	Professional		$81.12	$103.60	$103.60
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $95.98 / $147.80	Professional		$84.94	$95.98	$147.80