Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $111.25 / $332.76	Facility		$83.43	$111.25	$332.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $134.96 / $478.00	Professional		$91.38	$134.96	$478.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $182.94 / $349.74	Professional		$118.66	$182.94	$349.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $151.57 / $184.71	Facility		$122.69	$151.57	$184.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $150.84 / $285.51	Professional		$120.67	$150.84	$285.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.92 / $394.89 / $605.77	Facility		$337.92	$394.89	$605.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $318.95 / $429.99	Professional		$111.69	$318.95	$429.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.51 / $139.72 / $260.97	Facility		$107.51	$139.72	$260.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.25 / $143.12 / $270.63	Facility		$111.25	$143.12	$270.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $285.43 / $827.90	Professional		$141.44	$285.43	$827.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $128.57 / $276.39	Professional		$79.08	$128.57	$276.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.67 / $139.72 / $270.63	Facility		$101.67	$139.72	$270.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $307.30 / $419.74	Professional		$232.80	$307.30	$419.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $587.34 / $587.34 / $587.34	Facility		$587.34	$587.34	$587.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.77 / $665.25 / $827.90	Professional		$173.77	$665.25	$827.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $226.91 / $376.05 / $444.60	Professional		$226.91	$376.05	$444.60
United Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $224.87 / $369.75	Professional		$135.10	$224.87	$369.75