Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $172.14 / $275.20	Facility		$56.87	$172.14	$275.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $192.63 / $405.37	Professional		$85.36	$192.63	$405.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $175.64 / $303.73	Professional		$104.53	$175.64	$303.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $111.63 / $131.97	Facility		$87.90	$111.63	$131.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $137.40 / $191.36	Professional		$114.50	$137.40	$191.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.71 / $386.46 / $513.64	Facility		$330.71	$386.46	$513.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $229.43 / $368.90	Professional		$105.77	$229.43	$368.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $114.04 / $225.31	Facility		$79.16	$114.04	$225.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.19 / $114.04 / $224.05	Facility		$79.19	$114.04	$224.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $263.87 / $785.23	Professional		$129.91	$263.87	$785.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $220.67 / $279.18	Professional		$66.45	$220.67	$279.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $114.38 / $225.31	Facility		$79.16	$114.38	$225.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $272.76 / $375.38	Professional		$173.50	$272.76	$375.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $176.28 / $420.83	Facility		$124.66	$176.28	$420.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.09 / $532.85 / $785.23	Professional		$142.09	$532.85	$785.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $158.29 / $208.59	Professional		$158.29	$158.29	$208.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $273.20 / $367.02	Professional		$172.43	$273.20	$367.02
United Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $201.61 / $333.50	Professional		$123.40	$201.61	$333.50