Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.72 / $214.27 / $309.27	Facility		$80.72	$214.27	$309.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $113.85 / $326.83	Professional		$70.04	$113.85	$326.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $164.75 / $284.93	Professional		$96.39	$164.75	$284.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $99.50 / $117.11	Facility		$78.06	$99.50	$117.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $131.22 / $181.97	Professional		$109.35	$131.22	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.19 / $370.67 / $492.65	Facility		$317.19	$370.67	$492.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $204.91 / $335.55	Professional		$93.95	$204.91	$335.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $107.75 / $211.63	Facility		$67.83	$107.75	$211.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.19 / $107.52 / $212.08	Facility		$69.19	$107.52	$212.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $234.40 / $743.11	Professional		$118.32	$234.40	$743.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $224.60 / $285.98	Professional		$63.50	$224.60	$285.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $108.08 / $212.08	Facility		$68.25	$108.08	$212.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $247.00 / $358.32	Professional		$154.15	$247.00	$358.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $157.44 / $373.93	Facility		$110.81	$157.44	$373.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $510.48 / $743.11	Professional		$117.14	$510.48	$743.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $141.44 / $197.96	Professional		$141.44	$141.44	$197.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $244.00 / $351.64	Professional		$157.27	$244.00	$351.64
United Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $189.19 / $317.07	Professional		$117.26	$189.19	$317.07