Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $92.98 / $324.25	Facility		$76.50	$92.98	$324.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $89.90 / $233.54	Professional		$66.05	$89.90	$233.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $130.47 / $282.68	Professional		$75.90	$130.47	$282.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $66.93 / $93.34	Facility		$66.67	$66.93	$93.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $79.93 / $103.56	Professional		$79.66	$79.93	$103.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $262.14 / $358.29	Facility		$70.00	$262.14	$358.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $175.39 / $249.54	Professional		$91.41	$175.39	$249.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $89.51 / $166.90	Facility		$66.93	$89.51	$166.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $97.03 / $319.95	Facility		$66.93	$97.03	$319.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $160.36 / $741.22	Professional		$87.34	$160.36	$741.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $64.69 / $139.59	Professional		$39.92	$64.69	$139.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $89.51 / $166.90	Facility		$66.73	$89.51	$166.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $201.46 / $273.87	Professional		$109.13	$201.46	$273.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $135.86 / $322.45	Facility		$65.00	$135.86	$322.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $371.61 / $741.22	Professional		$108.18	$371.61	$741.22
Security Health Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $172.73 / $172.73	Facility		$172.73	$172.73	$172.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $364.84 / $443.52	Professional		$169.28	$364.84	$443.52
United Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $140.38 / $320.91	Professional		$84.28	$140.38	$320.91