Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.47 / $115.30 / $486.53	Facility		$86.47	$115.30	$486.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $119.76 / $180.72	Professional		$89.09	$119.76	$180.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $144.35 / $419.86	Professional		$102.95	$144.35	$419.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $101.47 / $140.71	Facility		$76.09	$101.47	$140.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $144.55 / $270.20	Professional		$108.08	$144.55	$270.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.23 / $402.26 / $617.07	Facility		$344.23	$402.26	$617.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $158.60 / $425.81	Professional		$103.72	$158.60	$425.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.57 / $133.46 / $199.94	Facility		$102.57	$133.46	$199.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $134.75 / $199.94	Facility		$102.20	$134.75	$199.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $312.10 / $817.07	Professional		$136.63	$312.10	$817.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $117.17 / $274.69	Professional		$79.06	$117.17	$274.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.57 / $133.46 / $199.94	Facility		$102.57	$133.46	$199.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $206.70 / $347.99	Professional		$131.91	$206.70	$347.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $254.55 / $254.55 / $254.55	Facility		$254.55	$254.55	$254.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $533.95 / $817.07	Professional		$105.00	$533.95	$817.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $546.87 / $668.30	Professional		$131.85	$546.87	$668.30
United Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $205.51 / $434.33	Professional		$129.72	$205.51	$434.33