Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.83 / $166.94 / $850.56	Facility		$89.83	$166.94	$850.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $54.11 / $166.94	Professional		$53.71	$54.11	$166.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.94 / $194.64 / $205.87	Facility		$160.94	$194.64	$205.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $309.73	Professional		$36.97	$36.97	$309.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $211.28 / $220.22	Facility		$47.00	$211.28	$220.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $74.86 / $74.86	Professional		$74.86	$74.86	$74.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.36 / $241.14 / $369.92	Facility		$206.36	$241.14	$369.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $201.59 / $229.08	Professional		$85.90	$201.59	$229.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $59.99 / $89.83	Facility		$59.99	$59.99	$89.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $67.37 / $355.59	Facility		$59.99	$67.37	$355.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $74.86 / $207.36	Professional		$44.92	$74.86	$207.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $65.00 / $112.29	Professional		$37.06	$65.00	$112.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $59.99 / $89.83	Facility		$59.99	$59.99	$89.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $182.95 / $254.10	Professional		$91.50	$182.95	$254.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $149.72 / $355.59	Facility		$149.72	$149.72	$355.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $39.68 / $46.54	Professional		$39.68	$39.68	$46.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $77.02 / $159.41	Professional		$77.02	$77.02	$159.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $77.02 / $408.74	Professional		$77.02	$77.02	$408.74
United Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $61.61 / $180.68	Professional		$43.42	$61.61	$180.68