Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $142.93 / $356.48	Facility		$107.20	$142.93	$356.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $152.24 / $594.00	Professional		$109.90	$152.24	$594.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $205.60 / $437.42	Professional		$128.88	$205.60	$437.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.57 / $160.19 / $193.77	Facility		$129.57	$160.19	$193.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $159.50 / $299.50	Professional		$127.60	$159.50	$299.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $342.28 / $421.48	Professional		$117.47	$342.28	$421.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $168.42 / $280.19	Facility		$133.57	$168.42	$280.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.86 / $171.77 / $280.19	Facility		$136.86	$171.77	$280.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $326.77 / $1,010.75	Professional		$172.87	$326.77	$1,010.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $233.49 / $294.38	Professional		$65.00	$233.49	$294.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $168.42 / $297.86	Facility		$133.57	$168.42	$297.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $328.88 / $466.73	Professional		$246.60	$328.88	$466.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $681.03 / $681.03 / $681.03	Facility		$681.03	$681.03	$681.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.15 / $820.00 / $1,010.75	Professional		$213.15	$820.00	$1,010.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $302.31 / $302.31	Professional		$302.31	$302.31	$302.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $466.76 / $473.73	Professional		$302.31	$466.76	$473.73
United Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $268.33 / $443.23	Professional		$163.24	$268.33	$443.23