Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.20 / $120.29 / $580.77	Facility		$94.20	$120.29	$580.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $126.57 / $177.20	Professional		$99.32	$126.57	$177.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $137.62 / $430.96	Professional		$103.96	$137.62	$430.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $128.08 / $179.33	Facility		$96.07	$128.08	$179.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $172.96 / $323.93	Professional		$129.57	$172.96	$323.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.89 / $459.12 / $704.30	Facility		$392.89	$459.12	$704.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $225.00 / $489.55	Professional		$111.00	$225.00	$489.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $144.85 / $217.25	Facility		$125.60	$144.85	$217.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $111.43 / $111.43	Professional		$111.43	$111.43	$111.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $144.83 / $217.25	Facility		$125.53	$144.83	$217.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.35 / $274.45 / $911.03	Professional		$114.35	$274.45	$911.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $126.53 / $294.38	Professional		$79.08	$126.53	$294.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $144.83 / $217.25	Facility		$125.60	$144.83	$217.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $111.43 / $111.43	Professional		$111.43	$111.43	$111.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.10 / $275.39 / $435.97	Professional		$165.10	$275.39	$435.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $314.73 / $314.73 / $314.73	Facility		$314.73	$314.73	$314.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $642.51 / $911.03	Professional		$112.00	$642.51	$911.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $358.05 / $406.07	Professional		$174.86	$358.05	$406.07
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $161.91 / $401.63	Professional		$105.98	$161.91	$401.63