Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.66 / $197.40 / $871.05	Facility		$171.66	$197.40	$871.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $192.50 / $880.20	Professional		$144.88	$192.50	$880.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.77 / $329.95 / $757.58	Professional		$189.77	$329.95	$757.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.07 / $217.22 / $301.10	Facility		$215.07	$217.22	$301.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $215.07 / $278.67	Professional		$214.36	$215.07	$278.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $700.42 / $957.30	Facility		$70.00	$700.42	$957.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.56 / $588.49 / $668.74	Professional		$284.56	$588.49	$668.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.71 / $200.84 / $394.19	Facility		$112.71	$200.84	$394.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.51 / $236.64 / $742.95	Facility		$141.51	$236.64	$742.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $306.24 / $880.09	Professional		$198.49	$306.24	$880.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $220.60 / $482.08	Professional		$137.08	$220.60	$482.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $112.71 / $200.84 / $394.19	Facility		$112.71	$200.84	$394.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.29 / $532.97 / $747.52	Professional		$292.29	$532.97	$747.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $292.27 / $1,046.03	Facility		$65.00	$292.27	$1,046.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.91 / $995.90 / $1,433.30	Professional		$289.91	$995.90	$1,433.30
Security Health Facility/Professional Facility Modifier Low / Median / High Price $357.07 / $357.07 / $357.07	Facility		$357.07	$357.07	$357.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $349.93 / $731.30 / $731.30	Professional		$349.93	$731.30	$731.30
United Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $302.83 / $639.87	Professional		$198.49	$302.83	$639.87