Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $73.44 / $182.66	Facility		$55.08	$73.44	$182.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $77.58 / $259.10	Professional		$55.08	$77.58	$259.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $101.58 / $205.96	Professional		$68.64	$101.58	$205.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $81.84 / $99.71	Facility		$66.52	$81.84	$99.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $82.04 / $154.12	Professional		$65.63	$82.04	$154.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $175.68 / $199.64	Professional		$58.98	$175.68	$199.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.47 / $87.74 / $167.90	Facility		$65.47	$87.74	$167.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $89.24 / $164.80	Facility		$69.16	$89.24	$164.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $143.16 / $526.09	Professional		$77.56	$143.16	$526.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $174.31 / $207.99	Professional		$61.99	$174.31	$207.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.47 / $87.74 / $154.50	Facility		$65.47	$87.74	$154.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $166.32 / $227.18	Professional		$126.00	$166.32	$227.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $352.00 / $352.00	Facility		$352.00	$352.00	$352.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $366.10 / $526.09	Professional		$95.53	$366.10	$526.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $135.19 / $135.19	Professional		$135.19	$135.19	$135.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.36 / $239.59 / $239.59	Professional		$135.36	$239.59	$239.59
United Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $119.80 / $197.88	Professional		$74.00	$119.80	$197.88