Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.32 / $103.85 / $387.81	Facility		$92.32	$103.85	$387.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $96.54 / $217.47	Professional		$75.66	$96.54	$217.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $102.21 / $292.58	Professional		$78.81	$102.21	$292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $85.27 / $119.35	Facility		$64.37	$85.27	$119.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $115.45 / $216.07	Professional		$86.43	$115.45	$216.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.93 / $309.58 / $474.92	Facility		$264.93	$309.58	$474.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $221.59 / $374.49	Professional		$80.00	$221.59	$374.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $101.55 / $138.43	Facility		$84.95	$101.55	$138.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $101.73 / $138.47	Facility		$83.13	$101.73	$138.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $194.78 / $613.89	Professional		$82.48	$194.78	$613.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $86.08 / $206.29	Professional		$59.53	$86.08	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.73 / $101.55 / $138.43	Facility		$84.73	$101.55	$138.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $167.26 / $289.92	Professional		$110.07	$167.26	$289.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.68 / $213.68 / $213.68	Facility		$213.68	$213.68	$213.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $438.95 / $613.89	Professional		$82.40	$438.95	$613.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $314.80 / $354.67	Professional		$103.22	$314.80	$354.67
United Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $133.50 / $317.83	Professional		$77.81	$133.50	$317.83