Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $129.36 / $456.57	Facility		$100.67	$129.36	$456.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $129.36 / $315.20	Professional		$97.75	$129.36	$315.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $100.80 / $126.00	Professional		$100.80	$100.80	$126.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.86 / $124.86 / $124.86	Facility		$124.86	$124.86	$124.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $228.74 / $326.95	Facility		$115.07	$228.74	$326.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $119.89 / $136.24	Professional		$98.88	$119.89	$136.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $108.74 / $137.58	Facility		$71.69	$108.74	$137.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $137.58 / $188.60	Facility		$100.67	$137.58	$188.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $111.67 / $158.11	Professional		$98.82	$111.67	$158.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $65.00 / $267.97	Professional		$15.00	$65.00	$267.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $108.74 / $137.58	Facility		$71.69	$108.74	$137.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $152.86 / $212.30	Professional		$100.85	$152.86	$212.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $431.25 / $431.25 / $431.25	Facility		$431.25	$431.25	$431.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $107.77 / $107.77	Professional		$102.58	$107.77	$107.77
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $116.10 / $177.24	Professional		$102.74	$116.10	$177.24