Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $215.60 / $979.00	Facility		$65.70	$215.60	$979.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $66.40 / $352.10	Professional		$56.07	$66.40	$352.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $86.82 / $231.26	Professional		$57.07	$86.82	$231.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $68.13 / $82.86	Facility		$54.50	$68.13	$82.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $60.22 / $111.69	Professional		$46.68	$60.22	$111.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.29 / $177.96 / $273.00	Facility		$152.29	$177.96	$273.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $134.47 / $167.89	Professional		$63.48	$134.47	$167.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $65.78 / $118.26	Facility		$57.90	$65.78	$118.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $66.61 / $118.30	Facility		$54.35	$66.61	$118.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $101.07 / $384.82	Professional		$64.12	$101.07	$384.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $58.14 / $74.39	Professional		$24.74	$58.14	$74.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $72.37 / $118.26	Facility		$57.90	$72.37	$118.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $136.83 / $188.10	Professional		$92.34	$136.83	$188.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $258.85 / $258.85	Facility		$258.85	$258.85	$258.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $250.02 / $384.82	Professional		$66.68	$250.02	$384.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $227.39 / $227.39	Professional		$87.27	$227.39	$227.39
United Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $98.99 / $208.11	Professional		$64.06	$98.99	$208.11