Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.79 / $282.55 / $434.08	Facility		$126.79	$282.55	$434.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $111.39 / $220.40	Professional		$76.77	$111.39	$220.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $174.25 / $386.79	Professional		$110.19	$174.25	$386.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $108.25 / $139.74	Facility		$104.40	$108.25	$139.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $119.08 / $139.74	Professional		$108.25	$119.08	$139.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.01 / $383.30 / $588.00	Facility		$328.01	$383.30	$588.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $242.29 / $341.43	Professional		$77.78	$242.29	$341.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.69 / $140.72 / $324.75	Facility		$101.69	$140.72	$324.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.25 / $148.34 / $324.75	Facility		$108.25	$148.34	$324.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $149.91 / $528.95	Professional		$66.81	$149.91	$528.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $89.95 / $197.34	Professional		$57.31	$89.95	$197.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.69 / $140.72 / $324.75	Facility		$101.69	$140.72	$324.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $277.99 / $386.10	Professional		$210.60	$277.99	$386.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $225.98 / $282.48 / $531.37	Facility		$225.98	$282.48	$531.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $508.46 / $758.33	Professional		$112.53	$508.46	$758.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.01 / $416.15 / $416.15	Professional		$132.01	$416.15	$416.15
United Facility/Professional Facility Modifier Low / Median / High Price $151.87 / $151.87 / $195.83	Facility		$151.87	$151.87	$195.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $149.91 / $407.56	Professional		$66.87	$149.91	$407.56