Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.55 / $91.48 / $471.24	Facility		$79.55	$91.48	$471.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $81.20 / $301.75	Professional		$69.65	$81.20	$301.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $105.12 / $289.31	Professional		$71.03	$105.12	$289.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $87.76 / $106.71	Facility		$70.20	$87.76	$106.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $77.58 / $143.88	Professional		$60.25	$77.58	$143.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.14 / $222.19 / $340.84	Facility		$190.14	$222.19	$340.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $172.55 / $210.14	Professional		$83.45	$172.55	$210.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $80.98 / $145.88	Facility		$70.75	$80.98	$145.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $89.05 / $159.10	Facility		$67.62	$89.05	$159.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $131.59 / $468.55	Professional		$81.80	$131.59	$468.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $85.00 / $137.47	Professional		$49.49	$85.00	$137.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $88.54 / $145.88	Facility		$70.23	$88.54	$145.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $174.24 / $242.00	Professional		$118.80	$174.24	$242.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $333.03 / $333.03 / $333.03	Facility		$333.03	$333.03	$333.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $312.93 / $468.55	Professional		$83.45	$312.93	$468.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $284.54 / $284.54	Professional		$114.98	$284.54	$284.54
United Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $128.66 / $264.88	Professional		$80.47	$128.66	$264.88