Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.92 / $102.92 / $255.18	Facility		$102.92	$102.92	$255.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $80.62 / $102.92	Professional		$70.33	$80.62	$102.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $297.52 / $314.68	Facility		$246.02	$297.52	$314.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $343.08	Professional		$45.77	$45.77	$343.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $174.23 / $232.90	Facility		$59.01	$174.23	$232.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.09 / $275.89 / $423.23	Facility		$236.09	$275.89	$423.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $308.13 / $350.15	Professional		$131.75	$308.13	$350.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $80.62 / $156.96	Facility		$42.89	$80.62	$156.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $102.92 / $543.54	Facility		$42.89	$102.92	$543.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $85.77 / $200.13	Professional		$51.46	$85.77	$200.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $85.00	Professional		$55.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $80.62 / $156.96	Facility		$42.89	$80.62	$156.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $272.58 / $389.40	Professional		$132.50	$272.58	$389.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $228.86 / $228.86 / $543.54	Facility		$228.86	$228.86	$543.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.65 / $182.65 / $182.65	Professional		$182.65	$182.65	$182.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $468.30 / $468.30	Professional		$450.29	$468.30	$468.30
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $68.66 / $200.13	Professional		$51.46	$68.66	$200.13