Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $85.64 / $344.82	Facility		$65.29	$85.64	$344.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $85.91 / $138.32	Professional		$66.48	$85.91	$138.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $104.15 / $310.89	Professional		$77.72	$104.15	$310.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $74.55 / $104.20	Facility		$56.38	$74.55	$104.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $102.50 / $191.72	Professional		$76.69	$102.50	$191.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.10 / $286.42 / $439.38	Facility		$245.10	$286.42	$439.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $115.74 / $304.29	Professional		$74.00	$115.74	$304.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $98.89 / $148.44	Facility		$77.01	$98.89	$148.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $100.18 / $147.99	Facility		$75.81	$100.18	$147.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $230.77 / $590.30	Professional		$96.00	$230.77	$590.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $94.19 / $208.75	Professional		$59.78	$94.19	$208.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $100.02 / $148.44	Facility		$77.06	$100.02	$148.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $163.26 / $261.64	Professional		$97.89	$163.26	$261.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $191.23 / $191.23 / $191.23	Facility		$191.23	$191.23	$191.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $400.14 / $590.30	Professional		$75.00	$400.14	$590.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $410.87 / $477.59	Professional		$146.65	$410.87	$477.59
United Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $147.69 / $315.25	Professional		$91.63	$147.69	$315.25