Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $112.23 / $391.38	Facility		$79.64	$112.23	$391.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $79.64 / $276.25	Professional		$65.78	$79.64	$276.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $81.61 / $277.10	Professional		$68.20	$81.61	$277.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $175.65 / $175.65	Facility		$96.24	$175.65	$175.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $96.24 / $124.89	Professional		$96.07	$96.24	$124.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $305.00 / $364.97	Facility		$65.00	$305.00	$364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $109.90 / $296.76	Professional		$81.06	$109.90	$296.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $97.60 / $199.10	Facility		$67.69	$97.60	$199.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $143.35 / $316.41	Facility		$78.56	$143.35	$316.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $92.15 / $314.10	Professional		$74.00	$92.15	$314.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $124.66 / $269.03	Professional		$78.08	$124.66	$269.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $97.60 / $199.10	Facility		$67.17	$97.60	$199.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $239.87 / $336.44	Professional		$131.55	$239.87	$336.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $139.57 / $470.81	Facility		$65.00	$139.57	$470.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $447.20 / $637.99	Professional		$108.03	$447.20	$637.99
Security Health Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $151.86 / $151.86	Facility		$151.86	$151.86	$151.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $285.35 / $285.35	Professional		$120.69	$285.35	$285.35
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $91.23 / $242.05	Professional		$74.98	$91.23	$242.05