Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.05 / $69.40 / $264.12	Facility		$52.05	$69.40	$264.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $80.50 / $281.00	Professional		$54.40	$80.50	$281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $114.13 / $202.24	Professional		$71.05	$114.13	$202.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $94.44 / $114.00	Facility		$76.09	$94.44	$114.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $93.45 / $176.21	Professional		$74.76	$93.45	$176.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.76 / $247.46 / $379.61	Facility		$211.76	$247.46	$379.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $194.70 / $269.89	Professional		$70.59	$194.70	$269.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $81.20 / $149.10	Facility		$62.77	$81.20	$149.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $83.00 / $160.33	Facility		$68.20	$83.00	$160.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $142.26 / $476.33	Professional		$77.18	$142.26	$476.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $95.64 / $206.28	Professional		$59.53	$95.64	$206.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $82.40 / $160.33	Facility		$61.65	$82.40	$160.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $191.66 / $261.80	Professional		$145.19	$191.66	$261.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $366.35 / $366.35 / $366.35	Facility		$366.35	$366.35	$366.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $354.35 / $476.33	Professional		$95.48	$354.35	$476.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $235.19 / $235.29	Professional		$122.66	$235.19	$235.29
United Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $115.96 / $194.33	Professional		$74.28	$115.96	$194.33