Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $84.24 / $325.45	Facility		$63.18	$84.24	$325.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $84.38 / $379.47	Professional		$64.12	$84.38	$379.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $101.00 / $298.41	Professional		$75.20	$101.00	$298.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.86 / $71.45 / $99.95	Facility		$53.86	$71.45	$99.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $96.88 / $181.06	Professional		$72.42	$96.88	$181.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $268.52 / $411.92	Facility		$229.79	$268.52	$411.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $108.33 / $286.19	Professional		$70.00	$108.33	$286.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $93.33 / $140.15	Facility		$74.83	$93.33	$140.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $94.48 / $140.05	Facility		$72.69	$94.48	$140.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $213.90 / $555.30	Professional		$92.04	$213.90	$555.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $84.18 / $190.19	Professional		$59.53	$84.18	$190.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $94.12 / $140.15	Facility		$74.83	$94.12	$140.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $139.80 / $243.71	Professional		$92.08	$139.80	$243.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $183.60 / $183.60 / $183.60	Facility		$183.60	$183.60	$183.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $376.34 / $555.30	Professional		$72.59	$376.34	$555.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $394.43 / $449.19	Professional		$98.88	$394.43	$449.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $139.55 / $363.67	Professional		$81.16	$139.55	$363.67