Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $74.56 / $74.56	Facility		$74.56	$74.56	$74.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $58.41 / $74.56	Professional		$50.95	$58.41	$74.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.60 / $161.56 / $170.89	Facility		$133.60	$161.56	$170.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $45.77 / $248.56	Professional		$41.19	$45.77	$248.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $62.14 / $94.49	Facility		$42.75	$62.14	$94.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $200.08 / $306.92	Facility		$171.21	$200.08	$306.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $167.33 / $190.15	Professional		$71.45	$167.33	$190.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $55.93 / $79.54	Facility		$32.93	$55.93	$79.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $62.14 / $295.17	Facility		$32.93	$62.14	$295.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $62.14 / $130.49	Professional		$36.04	$62.14	$130.49
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 $32.93 / $55.93 / $79.54	Facility		$32.93	$55.93	$79.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $147.84 / $211.20	Professional		$82.52	$147.84	$211.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $124.28 / $124.28 / $295.17	Facility		$124.28	$124.28	$295.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $32.93 / $32.93	Professional		$32.93	$32.93	$32.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $132.33 / $132.33	Professional		$132.33	$132.33	$132.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $326.24 / $339.28 / $339.28	Professional		$326.24	$339.28	$339.28
United Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $49.71 / $115.67	Professional		$33.56	$49.71	$115.67