Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $104.36 / $356.17	Facility		$65.56	$104.36	$356.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $104.12 / $161.59	Professional		$69.73	$104.12	$161.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $143.77 / $301.98	Professional		$90.33	$143.77	$301.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $95.30 / $133.19	Facility		$72.50	$95.30	$133.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $151.46 / $282.35	Professional		$112.94	$151.46	$282.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.96 / $437.01 / $670.38	Facility		$373.96	$437.01	$670.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $257.14 / $395.81	Professional		$163.69	$257.14	$395.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $121.00 / $183.13	Facility		$84.98	$121.00	$183.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $119.53 / $183.13	Facility		$83.17	$119.53	$183.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $373.04 / $920.04	Professional		$153.94	$373.04	$920.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $117.90 / $269.03	Professional		$77.30	$117.90	$269.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $121.00 / $183.13	Facility		$84.98	$121.00	$183.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $220.32 / $356.90	Professional		$132.10	$220.32	$356.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.36 / $194.36 / $194.36	Facility		$194.36	$194.36	$194.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $437.31 / $603.25 / $920.04	Professional		$437.31	$603.25	$920.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $210.76 / $290.22	Professional		$115.77	$210.76	$290.22
United Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $249.75 / $373.04	Professional		$135.00	$249.75	$373.04