Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $73.11 / $306.44	Facility		$50.92	$73.11	$306.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $78.37 / $254.04	Professional		$55.29	$78.37	$254.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $111.65 / $198.95	Professional		$58.53	$111.65	$198.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $92.17 / $112.32	Facility		$74.63	$92.17	$112.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $91.79 / $173.62	Professional		$73.43	$91.79	$173.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.46 / $240.09 / $368.31	Facility		$205.46	$240.09	$368.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $188.93 / $235.26	Professional		$65.33	$188.93	$235.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $81.11 / $147.63	Facility		$61.31	$81.11	$147.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $82.40 / $156.15	Facility		$66.95	$82.40	$156.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $163.32 / $469.94	Professional		$73.89	$163.32	$469.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $95.64 / $206.29	Professional		$59.53	$95.64	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.17 / $81.11 / $156.15	Facility		$60.17	$81.11	$156.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $186.91 / $255.30	Professional		$141.60	$186.91	$255.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $357.27 / $357.27 / $357.27	Facility		$357.27	$357.27	$357.27
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $35.72 / $35.72 / $35.72	Facility	AS	$35.72	$35.72	$35.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.58 / $351.95 / $469.94	Professional		$94.58	$351.95	$469.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $228.10 / $233.09	Professional		$122.06	$228.10	$233.09
United Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $120.57 / $190.24	Professional		$70.39	$120.57	$190.24