Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $66.18 / $292.81	Facility		$57.55	$66.18	$292.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $69.40 / $297.00	Professional		$57.55	$69.40	$297.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $110.62 / $258.45	Professional		$73.02	$110.62	$258.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $73.02 / $101.12	Facility		$72.23	$73.02	$101.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $72.23 / $93.67	Professional		$72.05	$72.23	$93.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $234.50 / $320.50	Facility		$70.00	$234.50	$320.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $197.29 / $229.91	Professional		$90.22	$197.29	$229.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $67.33 / $132.35	Facility		$33.47	$67.33	$132.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $87.62 / $312.45	Facility		$46.96	$87.62	$312.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $124.43 / $483.64	Professional		$73.08	$124.43	$483.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $137.89	Professional		$39.92	$63.30	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $67.33 / $132.35	Facility		$33.47	$67.33	$132.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $178.94 / $250.98	Professional		$98.14	$178.94	$250.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $158.44 / $351.19	Facility		$65.00	$158.44	$351.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $391.60 / $483.64	Professional		$97.18	$391.60	$483.64
Security Health Facility/Professional Facility Modifier Low / Median / High Price $88.83 / $88.83 / $88.83	Facility		$88.83	$88.83	$88.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $215.55 / $215.55	Professional		$87.05	$215.55	$215.55
United Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $120.61 / $257.43	Professional		$73.02	$120.61	$257.43