Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $220.88 / $308.13	Facility		$104.34	$220.88	$308.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $119.58 / $461.32	Professional		$96.77	$119.58	$461.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $182.55 / $342.97	Professional		$121.76	$182.55	$342.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $140.91 / $186.22	Facility		$112.73	$140.91	$186.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $132.26 / $232.49	Professional		$112.73	$132.26	$232.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.49 / $367.51 / $563.77	Facility		$314.49	$367.51	$563.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $286.27 / $406.64	Professional		$128.29	$286.27	$406.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $125.34 / $246.83	Facility		$94.16	$125.34	$246.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $125.34 / $246.83	Facility		$94.16	$125.34	$246.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $207.12 / $1,082.00	Professional		$131.22	$207.12	$1,082.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $193.55 / $274.69	Professional		$79.75	$193.55	$274.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $125.34 / $246.83	Facility		$94.16	$125.34	$246.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.18 / $280.81 / $404.27	Professional		$222.18	$280.81	$404.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $538.90	Facility		$138.29	$138.29	$538.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $607.70 / $1,082.00	Professional		$141.52	$607.70	$1,082.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $210.75 / $210.75	Professional		$210.75	$210.75	$210.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $351.09 / $351.09	Professional		$193.20	$351.09	$351.09
United Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $159.94 / $159.94	Facility		$159.94	$159.94	$159.94
United Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $189.41 / $342.99	Professional		$127.04	$189.41	$342.99