Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $262.45 / $262.45	Facility		$76.47	$262.45	$262.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $76.47 / $162.16	Professional		$65.15	$76.47	$162.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $89.13 / $240.77	Professional		$68.28	$89.13	$240.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $83.08 / $104.88	Facility		$66.45	$83.08	$104.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $81.54 / $104.88	Professional		$65.55	$81.54	$104.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.73 / $245.31 / $490.00	Facility		$184.73	$245.31	$490.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $163.03 / $244.96	Professional		$73.29	$163.03	$244.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $85.62 / $197.74	Facility		$66.31	$85.62	$197.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $86.05 / $224.91	Facility		$66.34	$86.05	$224.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $127.33 / $848.55	Professional		$73.58	$127.33	$848.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $66.47 / $137.89	Professional		$40.93	$66.47	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $84.19 / $211.14	Facility		$65.92	$84.19	$211.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $165.65 / $231.00	Professional		$113.40	$165.65	$231.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $500.00 / $1,863.00	Facility		$80.95	$500.00	$1,863.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $359.65 / $848.55	Professional		$81.84	$359.65	$848.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $206.12 / $247.29	Professional		$110.63	$206.12	$247.29
United Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $423.00 / $900.00	Facility		$420.00	$423.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $110.77 / $236.43	Professional		$71.53	$110.77	$236.43