Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.11 / $102.82 / $256.93	Facility		$77.11	$102.82	$256.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $111.20 / $401.00	Professional		$77.11	$111.20	$401.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $145.16 / $301.32	Professional		$96.26	$145.16	$301.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $115.84 / $140.58	Facility		$93.79	$115.84	$140.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $115.45 / $217.29	Professional		$92.36	$115.45	$217.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $246.40 / $289.83	Professional		$84.76	$246.40	$289.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $122.52 / $214.59	Facility		$94.80	$122.52	$214.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.16 / $123.60 / $214.59	Facility		$96.16	$123.60	$214.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $220.32 / $699.89	Professional		$118.73	$220.32	$699.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $174.31 / $219.99	Professional		$65.00	$174.31	$219.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $122.52 / $227.52	Facility		$94.80	$122.52	$227.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $237.66 / $324.83	Professional		$178.20	$237.66	$324.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $470.46 / $470.46 / $470.46	Facility		$470.46	$470.46	$470.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $563.90 / $699.89	Professional		$146.83	$563.90	$699.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.59 / $208.59 / $208.59	Professional		$208.59	$208.59	$208.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.03 / $336.02 / $336.02	Professional		$208.03	$336.02	$336.02
United Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $190.20 / $304.80	Professional		$112.78	$190.20	$304.80