Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $129.24 / $252.61	Facility		$74.48	$129.24	$252.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $140.74 / $403.70	Professional		$89.39	$140.74	$403.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $189.39 / $326.30	Professional		$110.14	$189.39	$326.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.32 / $117.38 / $138.50	Facility		$92.32	$117.38	$138.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $148.08 / $205.92	Professional		$123.40	$148.08	$205.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.84 / $417.00 / $554.23	Facility		$356.84	$417.00	$554.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $241.41 / $377.06	Professional		$109.24	$241.41	$377.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $122.11 / $238.56	Facility		$83.90	$122.11	$238.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.06 / $122.11 / $238.56	Facility		$85.06	$122.11	$238.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $270.88 / $845.09	Professional		$135.44	$270.88	$845.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $199.51 / $294.29	Professional		$70.00	$199.51	$294.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.66 / $122.28 / $238.56	Facility		$84.66	$122.28	$238.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $290.72 / $404.49	Professional		$182.24	$290.72	$404.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $185.48 / $442.03	Facility		$130.94	$185.48	$442.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $573.62 / $845.09	Professional		$136.16	$573.62	$845.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $166.73 / $224.38	Professional		$166.73	$166.73	$224.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $287.48 / $395.13	Professional		$180.64	$287.48	$395.13
United Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $211.57 / $358.36	Professional		$132.82	$211.57	$358.36