Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $118.00 / $381.47	Facility		$79.64	$118.00	$381.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $88.63 / $372.24	Professional		$58.45	$88.63	$372.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $81.61 / $272.68	Professional		$63.49	$81.61	$272.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.88 / $163.52 / $163.52	Facility		$93.88	$163.52	$163.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $93.88 / $121.80	Professional		$93.69	$93.88	$121.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $301.91 / $361.38	Facility		$65.00	$301.91	$361.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $107.08 / $293.89	Professional		$75.50	$107.08	$293.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $95.13 / $199.10	Facility		$67.69	$95.13	$199.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.58 / $175.49 / $339.39	Facility		$64.58	$175.49	$339.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $96.82 / $330.56	Professional		$74.70	$96.82	$330.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.09 / $203.25	Professional		$59.78	$95.09	$203.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $95.13 / $199.10	Facility		$63.74	$95.13	$199.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $233.70 / $327.79	Professional		$130.81	$233.70	$327.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $458.69	Facility		$65.00	$85.00	$458.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.98 / $437.67 / $633.66	Professional		$106.98	$437.67	$633.66
Security Health Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $156.66	Facility		$156.66	$156.66	$156.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $282.57 / $282.57	Professional		$115.60	$282.57	$282.57
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $87.70 / $199.23	Professional		$74.70	$87.70	$199.23