Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.03 / $372.82 / $549.29	Facility		$252.03	$372.82	$549.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.20 / $120.00	Professional		$19.00	$25.20	$120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $17.36 / $166.16	Professional		$17.36	$17.36	$166.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $39.33 / $95.15	Facility		$32.74	$39.33	$95.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $37.46 / $37.46	Professional		$37.46	$37.46	$37.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.73 / $120.05 / $184.15	Facility		$102.73	$120.05	$184.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $125.71 / $142.85	Professional		$47.08	$125.71	$142.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $47.95	Facility		$22.16	$22.16	$47.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $183.18 / $455.77	Facility		$22.16	$183.18	$455.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $39.14 / $161.53	Professional		$21.81	$39.14	$161.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $65.00 / $1,250.00	Professional		$51.44	$65.00	$1,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $47.95	Facility		$22.16	$22.16	$47.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $95.44 / $133.10	Professional		$52.85	$95.44	$133.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $183.18	Facility		$77.09	$77.09	$183.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $23.49 / $31.10	Professional		$19.60	$23.49	$31.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $29.87 / $113.69	Professional		$29.87	$29.87	$113.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $29.87 / $130.68	Professional		$29.87	$29.87	$130.68
United Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $35.90 / $81.86	Professional		$18.60	$35.90	$81.86