Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.78 / $143.30 / $498.40	Facility		$140.78	$143.30	$498.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $141.46 / $210.47	Professional		$123.96	$141.46	$210.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $189.36 / $573.60	Professional		$120.12	$189.36	$573.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.12 / $156.26 / $206.66	Facility		$123.12	$156.26	$206.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $148.60 / $175.97	Professional		$136.21	$148.60	$175.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.24 / $412.79 / $633.23	Facility		$353.24	$412.79	$633.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.82 / $334.17 / $476.92	Professional		$155.82	$334.17	$476.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $146.54 / $253.40	Facility		$124.29	$146.54	$253.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $146.54 / $253.40	Facility		$122.41	$146.54	$253.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $405.55 / $1,260.00	Professional		$169.00	$405.55	$1,260.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $119.98 / $274.69	Professional		$79.06	$119.98	$274.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $146.54 / $262.56	Facility		$124.29	$146.54	$262.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $313.14 / $444.40	Professional		$173.64	$313.14	$444.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $601.01 / $601.01 / $601.01	Facility		$601.01	$601.01	$601.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.25 / $665.35 / $1,260.00	Professional		$205.25	$665.35	$1,260.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $674.97 / $686.92	Professional		$279.85	$674.97	$686.92
United Facility/Professional Professional Modifier Low / Median / High Price $159.68 / $302.06 / $513.77	Professional		$159.68	$302.06	$513.77