Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $248.02 / $345.99	Facility		$117.93	$248.02	$345.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $148.74 / $254.90	Professional		$108.85	$148.74	$254.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $216.54 / $437.03	Professional		$129.66	$216.54	$437.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.95 / $160.58 / $188.93	Facility		$125.95	$160.58	$188.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $177.58 / $247.22	Professional		$147.97	$177.58	$247.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $332.20 / $454.76	Professional		$148.82	$332.20	$454.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $171.90 / $321.20	Facility		$137.49	$171.90	$321.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $174.43 / $321.20	Facility		$134.94	$174.43	$321.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $400.29 / $1,111.43	Professional		$191.16	$400.29	$1,111.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $288.55 / $371.98	Professional		$70.00	$288.55	$371.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $172.97 / $321.20	Facility		$137.79	$172.97	$321.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $259.35 / $379.41 / $515.78	Professional		$259.35	$379.41	$515.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $255.24 / $604.00	Facility		$178.68	$255.24	$604.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $754.70 / $1,111.43	Professional		$184.49	$754.70	$1,111.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $278.58 / $330.24	Professional		$278.58	$278.58	$330.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $453.05 / $545.76	Professional		$278.39	$453.05	$545.76
United Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $304.08 / $483.82	Professional		$187.33	$304.08	$483.82