Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $304.64 / $312.70	Facility		$28.94	$304.64	$312.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $58.02 / $87.50	Professional		$25.15	$58.02	$87.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $79.36 / $228.99	Professional		$27.57	$79.36	$228.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $30.95 / $36.86	Facility		$24.46	$30.95	$36.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $91.20 / $113.59	Professional		$76.03	$91.20	$113.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.97 / $255.89 / $340.09	Facility		$218.97	$255.89	$340.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $90.79 / $231.25	Professional		$40.40	$90.79	$231.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $67.15 / $105.27	Facility		$26.19	$67.15	$105.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $66.95 / $109.17	Facility		$25.54	$66.95	$109.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $167.46 / $466.88	Professional		$82.02	$167.46	$466.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $98.65 / $207.38	Professional		$58.91	$98.65	$207.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $67.15 / $107.94	Facility		$26.19	$67.15	$107.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $108.31 / $267.50	Professional		$50.05	$108.31	$267.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $63.90 / $116.58	Facility		$42.21	$63.90	$116.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $167.46 / $466.88	Professional		$51.13	$167.46	$466.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $137.32 / $411.03	Professional		$137.32	$137.32	$411.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $154.91 / $287.44	Professional		$81.90	$154.91	$287.44