Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.64 / $118.18 / $454.33	Facility		$88.64	$118.18	$454.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $112.24 / $163.35	Professional		$88.99	$112.24	$163.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $141.40 / $396.56	Professional		$104.04	$141.40	$396.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $103.28 / $144.72	Facility		$78.41	$103.28	$144.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $135.46 / $254.95	Professional		$101.98	$135.46	$254.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $372.77 / $571.84	Facility		$319.00	$372.77	$571.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $149.00 / $407.15	Professional		$93.50	$149.00	$407.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $128.85 / $183.86	Facility		$104.34	$128.85	$183.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $128.85 / $183.86	Facility		$103.63	$128.85	$183.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $281.49 / $747.63	Professional		$121.92	$281.49	$747.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $111.18 / $254.89	Professional		$70.00	$111.18	$254.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $128.85 / $183.86	Facility		$104.34	$128.85	$183.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $204.70 / $353.49	Professional		$130.57	$204.70	$353.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $261.75 / $261.75 / $261.75	Facility		$261.75	$261.75	$261.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $521.33 / $747.63	Professional		$97.00	$521.33	$747.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $562.33 / $622.22	Professional		$134.75	$562.33	$622.22
United Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $188.26 / $444.15	Professional		$114.29	$188.26	$444.15