Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.42 / $212.56 / $296.52	Facility		$100.42	$212.56	$296.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $114.03 / $466.25	Professional		$93.76	$114.03	$466.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $175.93 / $329.06	Professional		$116.65	$175.93	$329.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.61 / $135.76 / $179.50	Facility		$108.61	$135.76	$179.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $127.31 / $224.11	Professional		$108.61	$127.31	$224.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.88 / $352.77 / $541.15	Facility		$301.88	$352.77	$541.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $282.54 / $391.41	Professional		$123.25	$282.54	$391.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $120.81 / $236.28	Facility		$90.50	$120.81	$236.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $120.81 / $236.28	Facility		$90.50	$120.81	$236.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $199.63 / $1,082.00	Professional		$126.10	$199.63	$1,082.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $145.74 / $206.29	Professional		$61.15	$145.74	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $120.81 / $236.28	Facility		$90.50	$120.81	$236.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $270.56 / $389.51	Professional		$214.07	$270.56	$389.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $519.25	Facility		$132.90	$132.90	$519.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $583.90 / $1,082.00	Professional		$136.68	$583.90	$1,082.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $202.10 / $202.10	Professional		$202.10	$202.10	$202.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $336.96 / $336.96	Professional		$193.20	$336.96	$336.96
United Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $187.89 / $324.52	Professional		$121.98	$187.89	$324.52