Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.27 / $188.72 / $284.58	Facility		$71.27	$188.72	$284.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $108.95 / $306.50	Professional		$63.03	$108.95	$306.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $146.74 / $260.58	Professional		$87.50	$146.74	$260.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $87.58 / $102.90	Facility		$68.58	$87.58	$102.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $120.56 / $166.81	Professional		$100.47	$120.56	$166.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $342.23 / $454.86	Facility		$292.86	$342.23	$454.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $180.65 / $308.94	Professional		$83.28	$180.65	$308.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $96.90 / $190.50	Facility		$58.90	$96.90	$190.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $96.65 / $194.48	Facility		$61.06	$96.65	$194.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $220.27 / $685.73	Professional		$112.83	$220.27	$685.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $223.68 / $275.78	Professional		$58.45	$223.68	$275.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $98.70 / $194.48	Facility		$60.58	$98.70	$194.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.27 / $217.80 / $329.21	Professional		$137.27	$217.80	$329.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $138.80 / $328.49	Facility		$97.37	$138.80	$328.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $464.35 / $685.73	Professional		$106.15	$464.35	$685.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $112.19 / $164.05	Professional		$112.19	$112.19	$164.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $213.71 / $321.62	Professional		$112.19	$213.71	$321.62
United Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $174.49 / $290.45	Professional		$107.16	$174.49	$290.45