Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $93.64 / $93.64	Facility		$93.64	$93.64	$93.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $93.64 / $111.65	Professional		$92.03	$93.64	$111.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $128.10 / $317.26	Professional		$51.87	$128.10	$317.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $116.09 / $135.88	Facility		$90.59	$116.09	$135.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $107.16 / $136.57	Professional		$90.37	$107.16	$136.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.62 / $302.22 / $401.67	Facility		$258.62	$302.22	$401.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $139.07 / $179.61	Professional		$86.90	$139.07	$179.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $94.17 / $180.74	Facility		$92.03	$94.17	$180.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $95.17 / $185.34	Facility		$92.03	$95.17	$185.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $150.35 / $599.65	Professional		$92.03	$150.35	$599.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $200.88	Professional		$50.00	$65.00	$200.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $94.43 / $185.15	Facility		$92.03	$94.43	$185.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $222.88 / $315.89	Professional		$105.41	$222.88	$315.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $185.36 / $498.64	Facility		$109.16	$185.36	$498.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $438.60 / $599.65	Professional		$86.90	$438.60	$599.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $126.52 / $126.52	Professional		$126.52	$126.52	$126.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $636.22 / $636.22	Professional		$126.52	$636.22	$636.22
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $154.34 / $243.77	Professional		$92.03	$154.34	$243.77