Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $52.68 / $92.55	Facility		$52.68	$52.68	$92.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $83.15 / $141.53	Professional		$52.68	$83.15	$141.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $142.68 / $287.17	Professional		$68.05	$142.68	$287.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $52.51 / $70.89	Facility		$52.51	$52.51	$70.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $90.38 / $124.17	Professional		$90.38	$90.38	$124.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.07 / $417.07 / $506.15	Facility		$417.07	$417.07	$506.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $117.53 / $227.63	Professional		$49.69	$117.53	$227.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $92.97 / $324.47	Facility		$52.73	$92.97	$324.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $92.21 / $296.70	Facility		$52.68	$92.21	$296.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $129.03 / $387.38	Professional		$84.50	$129.03	$387.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $190.84 / $260.18	Professional		$85.00	$190.84	$260.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $92.55 / $296.70	Facility		$52.73	$92.55	$296.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.59 / $173.09 / $297.95	Professional		$94.59	$173.09	$297.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $373.15 / $736.17	Professional		$87.59	$373.15	$736.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $70.13 / $122.63	Professional		$70.13	$70.13	$122.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $199.07 / $351.60	Professional		$92.94	$199.07	$351.60
United Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $118.87 / $235.97	Professional		$67.09	$118.87	$235.97