Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.85 / $74.59 / $360.14	Facility		$58.85	$74.59	$360.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $86.21 / $129.27	Professional		$64.73	$86.21	$129.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $86.19 / $271.56	Professional		$33.47	$86.19	$271.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.11 / $80.08 / $112.20	Facility		$60.11	$80.08	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $107.29 / $201.38	Professional		$80.55	$107.29	$201.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.40 / $283.27 / $434.54	Facility		$242.40	$283.27	$434.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $191.43 / $342.79	Professional		$62.00	$191.43	$342.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $91.27 / $139.22	Facility		$78.47	$91.27	$139.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $91.30	Professional		$91.30	$91.30	$91.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $91.53 / $144.94	Facility		$78.47	$91.53	$144.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $182.76 / $561.11	Professional		$79.20	$182.76	$561.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $88.06 / $203.86	Professional		$59.78	$88.06	$203.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $91.27 / $144.94	Facility		$78.47	$91.27	$144.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $91.30	Professional		$91.30	$91.30	$91.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $171.60 / $273.39	Professional		$102.87	$171.60	$273.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $196.48 / $196.48 / $196.48	Facility		$196.48	$196.48	$196.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $407.45 / $561.11	Professional		$69.23	$407.45	$561.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $223.52 / $250.70	Professional		$115.03	$223.52	$250.70
United Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $120.43 / $293.72	Professional		$71.15	$120.43	$293.72