Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.65 / $98.20 / $294.68	Facility		$73.65	$98.20	$294.68
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $106.50 / $106.50 / $106.50	Facility	25	$106.50	$106.50	$106.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $106.55 / $394.42	Professional		$76.42	$106.55	$394.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $161.49 / $290.33	Professional		$101.54	$161.49	$290.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $133.41 / $161.09	Facility		$107.60	$133.41	$161.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $132.19 / $248.99	Professional		$105.76	$132.19	$248.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.07 / $350.66 / $537.91	Facility		$300.07	$350.66	$537.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $275.55 / $365.90	Professional		$98.13	$275.55	$365.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $112.86 / $221.06	Facility		$87.18	$112.86	$221.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.78 / $118.45 / $227.08	Facility		$96.78	$118.45	$227.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $243.00 / $674.51	Professional		$113.45	$243.00	$674.51
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 $86.52 / $113.12 / $227.08	Facility		$86.52	$113.12	$227.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.20 / $270.86 / $369.98	Professional		$205.20	$270.86	$369.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $517.75 / $517.75 / $517.75	Facility		$517.75	$517.75	$517.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $521.04 / $674.51	Professional		$140.04	$521.04	$674.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $332.28 / $348.12	Professional		$181.86	$332.28	$348.12
United Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $178.20 / $289.60	Professional		$105.62	$178.20	$289.60