Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $71.01 / $266.30	Facility		$62.72	$71.01	$266.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $65.67 / $103.81	Professional		$52.63	$65.67	$103.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $69.44 / $196.52	Professional		$53.89	$69.44	$196.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $58.58 / $82.00	Facility		$44.22	$58.58	$82.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $79.30 / $148.38	Professional		$59.36	$79.30	$148.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $209.55 / $321.45	Facility		$179.32	$209.55	$321.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $150.15 / $254.21	Professional		$55.00	$150.15	$254.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $69.19 / $93.76	Facility		$58.03	$69.19	$93.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $69.41 / $94.08	Facility		$56.79	$69.41	$94.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $132.90 / $417.96	Professional		$56.27	$132.90	$417.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $64.69 / $148.79	Professional		$41.40	$64.69	$148.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $69.23 / $93.76	Facility		$58.03	$69.23	$93.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $114.83 / $199.05	Professional		$75.54	$114.83	$199.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $143.53 / $143.53 / $143.53	Facility		$143.53	$143.53	$143.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $300.50 / $417.96	Professional		$56.65	$300.50	$417.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $211.42 / $240.78	Professional		$70.66	$211.42	$240.78
United Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $90.30 / $239.91	Professional		$53.67	$90.30	$239.91