Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.70 / $148.93 / $444.28	Facility		$111.70	$148.93	$444.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $186.21 / $690.00	Professional		$122.29	$186.21	$690.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $252.23 / $512.51	Professional		$165.24	$252.23	$512.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $201.91 / $246.06	Facility		$163.53	$201.91	$246.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $201.14 / $380.34	Professional		$160.91	$201.14	$380.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.66 / $525.46 / $806.07	Facility		$449.66	$525.46	$806.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $425.15 / $571.79	Professional		$155.00	$425.15	$571.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $199.63 / $348.34	Facility		$146.80	$199.63	$348.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.93 / $205.23 / $399.04	Facility		$148.93	$205.23	$399.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.11 / $425.49 / $1,215.07	Professional		$205.11	$425.49	$1,215.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $160.92 / $344.80	Professional		$99.28	$160.92	$344.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $201.90 / $372.26	Facility		$134.66	$201.90	$372.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $413.70 / $570.29	Professional		$310.20	$413.70	$570.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $782.64 / $782.64 / $782.64	Facility		$782.64	$782.64	$782.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.81 / $981.65 / $1,215.07	Professional		$242.81	$981.65	$1,215.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $333.95 / $501.29 / $655.13	Professional		$333.95	$501.29	$655.13
United Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $337.76 / $545.60	Professional		$196.33	$337.76	$545.60