Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $344.78 / $501.22	Facility		$99.04	$344.78	$501.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $100.68 / $344.78	Professional		$88.01	$100.68	$344.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $176.87 / $351.82	Professional		$89.03	$176.87	$351.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.69 / $110.62 / $137.63	Facility		$84.69	$110.62	$137.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $105.86 / $117.59	Professional		$88.92	$105.86	$117.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.91 / $288.52 / $383.48	Facility		$246.91	$288.52	$383.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $235.02 / $267.06	Professional		$91.13	$235.02	$267.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $86.20 / $110.25 / $178.27	Facility		$86.20	$110.25	$178.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $126.15 / $416.29	Facility		$86.27	$126.15	$416.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $216.71 / $741.22	Professional		$94.55	$216.71	$741.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $67.18 / $137.89	Professional		$39.92	$67.18	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $86.20 / $115.88 / $181.63	Facility		$86.20	$115.88	$181.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $232.13 / $312.29	Professional		$178.75	$232.13	$312.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $220.95 / $416.29 / $416.29	Facility		$220.95	$416.29	$416.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $475.66 / $741.22	Professional		$115.78	$475.66	$741.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $474.69 / $474.69	Professional		$155.46	$474.69	$474.69
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $186.63 / $338.10	Professional		$94.55	$186.63	$338.10