Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $99.96 / $405.13	Facility		$74.97	$99.96	$405.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $100.30 / $172.00	Professional		$77.66	$100.30	$172.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $105.08 / $340.45	Professional		$82.49	$105.08	$340.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $101.00 / $141.26	Facility		$76.16	$101.00	$141.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $121.08 / $227.66	Professional		$91.06	$121.08	$227.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.04 / $319.07 / $489.46	Facility		$273.04	$319.07	$489.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $137.21 / $386.74	Professional		$73.00	$137.21	$386.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.96 / $109.83 / $169.93	Facility		$96.96	$109.83	$169.93
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 $95.08 / $110.80 / $170.51	Facility		$95.08	$110.80	$170.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $199.61 / $656.42	Professional		$92.61	$199.61	$656.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $97.03 / $235.64	Professional		$60.64	$97.03	$235.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.96 / $110.33 / $169.93	Facility		$96.96	$110.33	$169.93
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 $114.38 / $190.80 / $333.16	Professional		$114.38	$190.80	$333.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $248.63 / $248.63	Facility		$248.63	$248.63	$248.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $450.41 / $656.42	Professional		$75.00	$450.41	$656.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $282.85 / $284.67	Professional		$145.10	$282.85	$284.67
United Facility/Professional Facility Modifier Low / Median / High Price $121.81 / $121.82 / $162.41	Facility		$121.81	$121.82	$162.41
United Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $132.66 / $330.79	Professional		$88.27	$132.66	$330.79