Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $136.59 / $310.01	Facility		$57.01	$136.59	$310.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $72.06 / $178.43	Professional		$55.08	$72.06	$178.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $73.81 / $228.71	Professional		$55.35	$73.81	$228.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $68.28 / $101.48	Facility		$51.21	$68.28	$101.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $92.28 / $172.49	Professional		$68.98	$92.28	$172.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $245.36 / $376.38	Facility		$209.96	$245.36	$376.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $99.22 / $261.35	Professional		$48.00	$99.22	$261.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $76.06 / $114.02	Facility		$66.73	$76.06	$114.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $57.75	Professional		$57.75	$57.75	$57.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $76.02 / $115.11	Facility		$66.64	$76.02	$115.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $118.05 / $488.57	Professional		$62.04	$118.05	$488.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $88.06 / $203.71	Professional		$59.78	$88.06	$203.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $76.25 / $114.02	Facility		$66.73	$76.25	$114.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $57.75	Professional		$57.75	$57.75	$57.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $138.44 / $230.42	Professional		$78.93	$138.44	$230.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $167.03 / $167.03 / $250.00	Facility		$167.03	$167.03	$250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $310.10 / $488.57	Professional		$52.00	$310.10	$488.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $190.01 / $217.19	Professional		$98.26	$190.01	$217.19
United Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $91.53 / $219.01	Professional		$56.68	$91.53	$219.01