Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.30 / $222.73 / $719.65	Facility		$75.30	$222.73	$719.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $103.16 / $246.75	Professional		$75.47	$103.16	$246.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $97.47 / $302.76	Professional		$73.27	$97.47	$302.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.54 / $89.61 / $125.33	Facility		$67.54	$89.61	$125.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $121.81 / $227.59	Professional		$91.04	$121.81	$227.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.55 / $324.33 / $497.54	Facility		$277.55	$324.33	$497.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $133.11 / $345.19	Professional		$70.00	$133.11	$345.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $102.07 / $154.65	Facility		$88.50	$102.07	$154.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $102.07 / $154.65	Facility		$88.50	$102.07	$154.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $159.58 / $645.08	Professional		$82.09	$159.58	$645.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $94.19 / $208.16	Professional		$59.78	$94.19	$208.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $102.07 / $154.65	Facility		$88.50	$102.07	$154.65
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $182.65 / $303.99	Professional		$104.17	$182.65	$303.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $250.00	Facility		$221.10	$221.10	$250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $413.50 / $645.08	Professional		$72.00	$413.50	$645.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $251.53 / $286.86	Professional		$129.44	$251.53	$286.86
United Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $121.17 / $282.07	Professional		$81.16	$121.17	$282.07