Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $86.01 / $562.54	Facility		$46.28	$86.01	$562.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $36.26 / $46.28	Professional		$31.63	$36.26	$46.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $100.28 / $106.07	Facility		$82.93	$100.28	$106.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $19.44 / $157.34	Professional		$15.43	$19.44	$157.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $38.57 / $97.97	Facility		$21.19	$38.57	$97.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $124.26 / $190.61	Facility		$106.33	$124.26	$190.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $103.86 / $118.03	Professional		$44.19	$103.86	$118.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $20.44 / $46.28	Facility		$20.44	$20.44	$46.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $30.86 / $183.21	Facility		$20.44	$30.86	$183.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $38.57 / $81.00	Professional		$22.37	$38.57	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $57.86 / $85.00	Professional		$19.29	$57.86	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $20.44 / $46.28	Facility		$20.44	$20.44	$46.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $91.78 / $130.90	Professional		$45.22	$91.78	$130.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.14 / $77.14 / $183.21	Facility		$77.14	$77.14	$183.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $20.44 / $20.44	Professional		$20.44	$20.44	$20.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.57 / $82.14	Professional		$38.57	$38.57	$82.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $112.09 / $210.59	Professional		$38.57	$112.09	$210.59
United Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $23.14 / $71.79	Professional		$19.29	$23.14	$71.79