Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.91 / $278.38 / $388.34	Facility		$120.91	$278.38	$388.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $175.54 / $465.30	Professional		$104.75	$175.54	$465.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $211.49 / $369.31	Professional		$126.30	$211.49	$369.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $136.32 / $160.82	Facility		$107.20	$136.32	$160.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $165.20 / $229.93	Professional		$137.66	$165.20	$229.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.39 / $464.39 / $617.21	Facility		$397.39	$464.39	$617.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $280.52 / $450.57	Professional		$128.76	$280.52	$450.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $139.19 / $276.39	Facility		$91.01	$139.19	$276.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.93 / $139.19 / $274.99	Facility		$93.93	$139.19	$274.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $296.72 / $944.96	Professional		$153.51	$296.72	$944.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $199.51 / $309.07	Professional		$72.03	$199.51	$309.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $139.19 / $276.39	Facility		$92.33	$139.19	$276.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $334.24 / $450.66	Professional		$211.57	$334.24	$450.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $215.54 / $513.16	Facility		$152.08	$215.54	$513.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $641.25 / $944.96	Professional		$171.00	$641.25	$944.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.23 / $194.23 / $251.33	Professional		$194.23	$194.23	$251.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $216.22 / $334.06 / $441.70	Professional		$216.22	$334.06	$441.70
United Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $243.08 / $402.31	Professional		$149.36	$243.08	$402.31