Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.06 / $241.54 / $336.95	Facility		$91.06	$241.54	$336.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $144.87 / $399.95	Professional		$86.14	$144.87	$399.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $181.04 / $313.05	Professional		$106.61	$181.04	$313.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $112.46 / $132.93	Facility		$88.55	$112.46	$132.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $143.18 / $199.21	Professional		$119.32	$143.18	$199.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.03 / $404.36 / $537.42	Facility		$346.03	$404.36	$537.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $231.18 / $371.62	Professional		$106.99	$231.18	$371.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $118.51 / $230.70	Facility		$79.70	$118.51	$230.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $118.51 / $230.70	Facility		$79.89	$118.51	$230.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $257.14 / $817.69	Professional		$130.76	$257.14	$817.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $225.98 / $308.90	Professional		$65.00	$225.98	$308.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $119.21 / $230.70	Facility		$79.70	$119.21	$230.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $278.77 / $391.44	Professional		$174.75	$278.77	$391.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $177.62 / $423.87	Facility		$125.60	$177.62	$423.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $555.89 / $817.69	Professional		$144.62	$555.89	$817.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $160.05 / $217.13	Professional		$160.05	$160.05	$217.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.91 / $275.29 / $382.90	Professional		$177.91	$275.29	$382.90
United Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $210.37 / $347.47	Professional		$128.57	$210.37	$347.47