Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $92.80 / $322.81	Facility		$92.57	$92.80	$322.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $94.12 / $313.16	Professional		$81.70	$94.12	$313.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $122.63 / $285.87	Professional		$76.83	$122.63	$285.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $80.50 / $111.17	Facility		$79.41	$80.50	$111.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $79.41 / $103.09	Professional		$79.30	$79.41	$103.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $261.12 / $356.89	Facility		$70.00	$261.12	$356.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $181.96 / $248.41	Professional		$90.08	$181.96	$248.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $92.80 / $167.04	Facility		$34.51	$92.80	$167.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.83 / $97.44 / $387.55	Facility		$53.83	$97.44	$387.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $142.35 / $537.75	Professional		$85.88	$142.35	$537.75
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 $34.51 / $92.80 / $167.04	Facility		$34.51	$92.80	$167.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $197.45 / $276.94	Professional		$108.29	$197.45	$276.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $174.69 / $387.55	Facility		$65.00	$174.69	$387.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $431.35 / $537.75	Professional		$108.38	$431.35	$537.75
Security Health Facility/Professional Facility Modifier Low / Median / High Price $108.57 / $108.57 / $108.57	Facility		$108.57	$108.57	$108.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $441.55 / $441.55	Professional		$106.40	$441.55	$441.55
United Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $135.68 / $288.41	Professional		$84.27	$135.68	$288.41