Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $102.16 / $303.72	Facility		$76.62	$102.16	$303.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $113.76 / $364.30	Professional		$76.98	$113.76	$364.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $167.99 / $289.44	Professional		$83.21	$167.99	$289.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $137.36 / $167.18	Facility		$111.31	$137.36	$167.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $137.00 / $258.41	Professional		$109.60	$137.00	$258.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.27 / $359.08 / $550.84	Facility		$307.27	$359.08	$550.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $282.14 / $330.76	Professional		$100.34	$282.14	$330.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $108.86 / $213.21	Facility		$92.24	$108.86	$213.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.78 / $109.80 / $213.21	Facility		$94.78	$109.80	$213.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $219.82 / $707.45	Professional		$106.50	$219.82	$707.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $98.23 / $207.99	Professional		$59.53	$98.23	$207.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.83 / $109.80 / $234.05	Facility		$89.83	$109.80	$234.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $278.77 / $380.79	Professional		$211.20	$278.77	$380.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $704.00 / $704.00	Facility		$704.00	$704.00	$704.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.31 / $507.15 / $707.45	Professional		$136.31	$507.15	$707.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $176.18 / $343.17 / $343.17	Professional		$176.18	$343.17	$343.17
United Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $173.53 / $276.45	Professional		$102.90	$173.53	$276.45