Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $75.47 / $263.18	Facility		$54.86	$75.47	$263.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $54.86 / $154.01	Professional		$39.53	$54.86	$154.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $56.21 / $184.98	Professional		$43.11	$56.21	$184.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $111.02 / $111.02	Facility		$64.43	$111.02	$111.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $64.47 / $83.81	Professional		$64.43	$64.47	$83.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $209.94 / $251.29	Facility		$65.00	$209.94	$251.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $74.31 / $203.45	Professional		$42.10	$74.31	$203.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $65.63 / $137.15	Facility		$45.08	$65.63	$137.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $68.06 / $213.39	Facility		$46.63	$68.06	$213.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $59.06 / $208.80	Professional		$50.66	$59.06	$208.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $134.51	Professional		$39.92	$63.30	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $64.38 / $137.15	Facility		$43.85	$64.38	$137.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $160.40 / $226.10	Professional		$90.23	$160.40	$226.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $316.37	Facility		$65.00	$85.00	$316.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $302.99 / $437.51	Professional		$74.06	$302.99	$437.51
Security Health Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $76.64 / $76.64	Facility		$76.64	$76.64	$76.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $195.62 / $195.62	Professional		$66.03	$195.62	$195.62
United Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $62.61 / $134.76	Professional		$51.23	$62.61	$134.76