Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.78 / $248.56 / $346.74	Facility		$94.78	$248.56	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $128.28 / $372.20	Professional		$80.22	$128.28	$372.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $188.91 / $322.51	Professional		$110.14	$188.91	$322.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.32 / $117.38 / $138.50	Facility		$92.32	$117.38	$138.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $147.36 / $204.95	Professional		$122.80	$147.36	$204.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.94 / $415.95 / $552.83	Facility		$355.94	$415.95	$552.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $241.41 / $376.11	Professional		$108.65	$241.41	$376.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $121.80 / $237.70	Facility		$76.43	$121.80	$237.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $121.80 / $237.34	Facility		$79.48	$121.80	$237.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $260.56 / $842.92	Professional		$132.60	$260.56	$842.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $225.98 / $309.07	Professional		$65.00	$225.98	$309.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $121.98 / $237.70	Facility		$77.42	$121.98	$237.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $290.72 / $402.48	Professional		$182.24	$290.72	$402.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $185.48 / $442.03	Facility		$130.94	$185.48	$442.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $572.17 / $842.92	Professional		$135.69	$572.17	$842.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $166.73 / $223.81	Professional		$166.73	$166.73	$223.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $287.48 / $394.12	Professional		$185.44	$287.48	$394.12
United Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $207.19 / $358.36	Professional		$131.72	$207.19	$358.36