Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $132.62 / $185.01	Facility		$62.64	$132.62	$185.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $100.70 / $539.58	Professional		$61.17	$100.70	$539.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $103.01 / $194.85	Professional		$71.26	$103.01	$194.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $83.50 / $101.84	Facility		$67.77	$83.50	$101.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $83.49 / $157.40	Professional		$66.79	$83.49	$157.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $220.08 / $337.61	Facility		$188.33	$220.08	$337.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $181.71 / $249.63	Professional		$73.69	$181.71	$249.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $68.40 / $144.88	Facility		$56.39	$68.40	$144.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $72.73 / $144.88	Facility		$56.69	$72.73	$144.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $127.48 / $649.20	Professional		$76.15	$127.48	$649.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $96.89 / $206.29	Professional		$59.53	$96.89	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.85 / $66.67 / $144.88	Facility		$54.85	$66.67	$144.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $168.80 / $235.40	Professional		$133.56	$168.80	$235.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $323.95 / $323.95 / $323.95	Facility		$323.95	$323.95	$323.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $364.95 / $649.20	Professional		$92.73	$364.95	$649.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $126.42 / $126.42	Professional		$126.42	$126.42	$126.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $210.41 / $227.05	Professional		$130.66	$210.41	$227.05
United Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $146.51 / $237.90	Professional		$76.15	$146.51	$237.90