Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $201.80 / $297.67	Facility		$76.00	$201.80	$297.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $104.19 / $297.67	Professional		$68.84	$104.19	$297.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $155.10 / $272.97	Professional		$91.96	$155.10	$272.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $93.74 / $110.49	Facility		$73.66	$93.74	$110.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $126.26 / $175.18	Professional		$105.22	$126.26	$175.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.48 / $356.98 / $474.45	Facility		$305.48	$356.98	$474.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $192.91 / $322.86	Professional		$88.94	$192.91	$322.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.73 / $103.06 / $200.02	Facility		$63.73	$103.06	$200.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $102.88 / $204.26	Facility		$65.31	$102.88	$204.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $225.96 / $715.23	Professional		$118.24	$225.96	$715.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $224.60 / $279.18	Professional		$61.07	$224.60	$279.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $103.35 / $204.26	Facility		$64.59	$103.35	$204.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $146.32 / $233.86 / $345.27	Professional		$146.32	$233.86	$345.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $148.22 / $352.73	Facility		$104.52	$148.22	$352.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $491.18 / $715.23	Professional		$114.36	$491.18	$715.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $119.79 / $171.14	Professional		$119.79	$119.79	$171.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $228.21 / $336.11	Professional		$119.79	$228.21	$336.11
United Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $187.93 / $304.23	Professional		$115.71	$187.93	$304.23