Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $81.72 / $388.41	Facility		$71.86	$81.72	$388.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $95.00 / $135.25	Professional		$72.58	$95.00	$135.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $105.01 / $325.73	Professional		$74.31	$105.01	$325.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $97.39 / $135.47	Facility		$73.04	$97.39	$135.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $116.10 / $218.39	Professional		$87.35	$116.10	$218.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.42 / $304.33 / $466.84	Facility		$260.42	$304.33	$466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $132.22 / $370.01	Professional		$70.00	$132.22	$370.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.19 / $103.40 / $162.88	Facility		$95.19	$103.40	$162.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $90.75	Professional		$90.75	$90.75	$90.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $104.94 / $164.14	Facility		$92.96	$104.94	$164.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $187.50 / $626.85	Professional		$88.21	$187.50	$626.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $97.03 / $220.41	Professional		$60.64	$97.03	$220.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.19 / $104.94 / $162.88	Facility		$95.19	$104.94	$162.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $90.75	Professional		$90.75	$90.75	$90.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $183.00 / $318.75	Professional		$109.71	$183.00	$318.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $237.88 / $237.88 / $237.88	Facility		$237.88	$237.88	$237.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $429.62 / $626.85	Professional		$73.00	$429.62	$626.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $270.62 / $271.51	Professional		$139.52	$270.62	$271.51
United Facility/Professional Facility Modifier Low / Median / High Price $102.28 / $102.28 / $136.37	Facility		$102.28	$102.28	$136.37
United Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $123.49 / $330.93	Professional		$80.90	$123.49	$330.93