Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.72 / $192.60 / $296.33	Facility		$80.72	$192.60	$296.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $119.30 / $352.80	Professional		$74.29	$119.30	$352.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $161.63 / $276.26	Professional		$92.83	$161.63	$276.26
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 $104.87 / $125.84 / $174.69	Professional		$104.87	$125.84	$174.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.58 / $355.92 / $473.05	Facility		$304.58	$355.92	$473.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $204.91 / $335.95	Professional		$96.26	$204.91	$335.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $103.68 / $202.89	Facility		$65.06	$103.68	$202.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $103.56 / $202.89	Facility		$68.56	$103.56	$202.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $232.08 / $717.08	Professional		$115.23	$232.08	$717.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $223.68 / $275.78	Professional		$61.16	$223.68	$275.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $103.97 / $202.89	Facility		$65.28	$103.97	$202.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $245.91 / $343.27	Professional		$154.15	$245.91	$343.27
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 $128.00 / $490.41 / $717.08	Professional		$128.00	$490.41	$717.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $141.44 / $191.18	Professional		$141.44	$141.44	$191.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $244.00 / $337.81	Professional		$156.01	$244.00	$337.81
United Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $183.81 / $305.95	Professional		$113.21	$183.81	$305.95