Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.27 / $176.22 / $271.63	Facility		$71.27	$176.22	$271.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $113.25 / $345.20	Professional		$68.02	$113.25	$345.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $145.35 / $250.36	Professional		$81.76	$145.35	$250.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $87.58 / $102.90	Facility		$68.58	$87.58	$102.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $115.20 / $159.54	Professional		$96.00	$115.20	$159.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.35 / $326.44 / $433.86	Facility		$279.35	$326.44	$433.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $180.65 / $294.80	Professional		$86.59	$180.65	$294.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $93.91 / $185.97	Facility		$58.03	$93.91	$185.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $93.91 / $185.97	Facility		$61.06	$93.91	$185.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $211.19 / $655.29	Professional		$104.60	$211.19	$655.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $223.68 / $275.78	Professional		$56.61	$223.68	$275.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $94.70 / $185.97	Facility		$58.81	$94.70	$185.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $217.00 / $314.16	Professional		$135.43	$217.00	$314.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $138.80 / $328.49	Facility		$97.37	$138.80	$328.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $448.47 / $655.29	Professional		$114.82	$448.47	$655.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $124.74 / $174.48	Professional		$124.74	$124.74	$174.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $215.13 / $308.94	Professional		$139.22	$215.13	$308.94
United Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $166.13 / $278.42	Professional		$100.31	$166.13	$278.42