Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $106.62 / $832.14	Facility		$57.37	$106.62	$832.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $37.77 / $61.81	Professional		$34.83	$37.77	$61.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.79 / $124.31 / $131.47	Facility		$102.79	$124.31	$131.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $197.81	Professional		$23.61	$23.61	$197.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $134.91 / $140.63	Facility		$28.33	$134.91	$140.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $153.74 / $235.84	Facility		$131.56	$153.74	$235.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $128.74 / $146.30	Professional		$54.93	$128.74	$146.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $34.63 / $57.37	Facility		$30.84	$34.63	$57.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $39.20 / $227.10	Facility		$30.84	$39.20	$227.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $39.35 / $106.24	Professional		$24.88	$39.35	$106.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $55.00 / $85.00	Professional		$23.67	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $34.63 / $57.37	Facility		$30.84	$34.63	$57.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $116.74 / $162.80	Professional		$58.43	$116.74	$162.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $95.62 / $227.10	Facility		$95.62	$95.62	$227.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $28.58 / $35.54	Professional		$25.34	$28.58	$35.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $101.81	Professional		$41.20	$41.20	$101.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $138.94 / $261.04	Professional		$41.20	$138.94	$261.04
United Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $38.25 / $106.24	Professional		$23.91	$38.25	$106.24