Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $102.72 / $143.29	Facility		$48.90	$102.72	$143.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $72.59 / $142.80	Professional		$45.69	$72.59	$142.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $89.78 / $193.14	Professional		$53.76	$89.78	$193.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $66.42 / $77.95	Facility		$51.97	$66.42	$77.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $82.42 / $114.22	Professional		$68.68	$82.42	$114.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $137.88 / $212.26	Professional		$67.79	$137.88	$212.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.52 / $83.56 / $154.78	Facility		$57.52	$83.56	$154.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.34 / $83.56 / $153.96	Facility		$57.34	$83.56	$153.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $185.75 / $542.94	Professional		$92.53	$185.75	$542.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $114.35 / $158.25	Professional		$50.93	$114.35	$158.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.52 / $83.56 / $154.08	Facility		$57.52	$83.56	$154.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $170.84 / $242.05	Professional		$107.25	$170.84	$242.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $105.94 / $249.77	Facility		$73.68	$105.94	$249.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $335.55 / $542.94	Professional		$87.27	$335.55	$542.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $123.85 / $161.01	Professional		$123.85	$123.85	$161.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $188.02 / $254.75	Professional		$127.84	$188.02	$254.75
United Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $149.30 / $235.96	Professional		$87.63	$149.30	$235.96