Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $217.94 / $304.02	Facility		$83.19	$217.94	$304.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $202.88 / $387.60	Professional		$83.19	$202.88	$387.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $165.26 / $284.33	Professional		$95.65	$165.26	$284.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $102.79 / $121.53	Facility		$80.95	$102.79	$121.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $129.24 / $179.91	Professional		$107.70	$129.24	$179.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $363.30 / $482.85	Facility		$310.89	$363.30	$482.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $211.19 / $340.31	Professional		$97.35	$211.19	$340.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $106.64 / $205.94	Facility		$71.56	$106.64	$205.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $106.64 / $205.94	Facility		$72.39	$106.64	$205.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.79 / $244.61 / $732.11	Professional		$118.79	$244.61	$732.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $224.60 / $275.99	Professional		$62.53	$224.60	$275.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $106.79 / $205.94	Facility		$71.56	$106.79	$205.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.77 / $254.87 / $353.30	Professional		$159.77	$254.87	$353.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $162.26 / $387.55	Facility		$114.80	$162.26	$387.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $501.26 / $732.11	Professional		$131.50	$501.26	$732.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $145.58 / $195.30	Professional		$145.58	$145.58	$195.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.86 / $251.47 / $345.28	Professional		$161.86	$251.47	$345.28
United Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $179.86 / $313.61	Professional		$115.93	$179.86	$313.61