Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $162.97 / $227.36	Facility		$77.33	$162.97	$227.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $104.67 / $179.60	Professional		$72.06	$104.67	$179.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $141.99 / $272.54	Professional		$85.02	$141.99	$272.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $105.66 / $124.79	Facility		$83.16	$105.66	$124.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $124.38 / $173.36	Professional		$103.65	$124.38	$173.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $218.01 / $318.39	Professional		$97.78	$218.01	$318.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $116.81 / $225.11	Facility		$89.82	$116.81	$225.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.48 / $117.47 / $225.11	Facility		$87.48	$117.47	$225.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $265.43 / $746.21	Professional		$128.00	$265.43	$746.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $171.68 / $219.99	Professional		$68.78	$171.68	$219.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $116.81 / $225.11	Facility		$89.88	$116.81	$225.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.95 / $260.26 / $344.86	Professional		$170.95	$260.26	$344.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $167.50 / $398.13	Facility		$117.95	$167.50	$398.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $484.38 / $746.21	Professional		$127.00	$484.38	$746.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $173.74 / $220.97	Professional		$173.74	$173.74	$220.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $297.29 / $382.10	Professional		$180.64	$297.29	$382.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $205.89 / $323.23	Professional		$125.74	$205.89	$323.23