Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $84.24 / $366.43	Facility		$63.18	$84.24	$366.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $90.46 / $170.24	Professional		$65.59	$90.46	$170.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $110.68 / $323.82	Professional		$78.47	$110.68	$323.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $71.75 / $100.34	Facility		$54.08	$71.75	$100.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $108.68 / $202.12	Professional		$80.84	$108.68	$202.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.23 / $306.43 / $470.07	Facility		$262.23	$306.43	$470.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $116.12 / $286.83	Professional		$79.00	$116.12	$286.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $99.82 / $146.02	Facility		$75.43	$99.82	$146.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.54 / $100.20 / $150.01	Facility		$74.54	$100.20	$150.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $238.35 / $633.97	Professional		$103.90	$238.35	$633.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $88.06 / $206.29	Professional		$59.53	$88.06	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $100.20 / $146.02	Facility		$75.47	$100.20	$146.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $146.25 / $255.51	Professional		$93.49	$146.25	$255.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $184.40 / $184.40 / $184.40	Facility		$184.40	$184.40	$184.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $409.70 / $633.97	Professional		$80.00	$409.70	$633.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $396.12 / $509.09	Professional		$98.33	$396.12	$509.09
United Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $156.38 / $331.17	Professional		$98.37	$156.38	$331.17