Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $277.37 / $476.28	Facility		$77.00	$277.37	$476.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $57.39 / $71.83	Professional		$43.50	$57.39	$71.83
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 $31.92 / $31.92 / $257.11	Professional		$31.92	$31.92	$257.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $158.00 / $164.21	Facility		$35.22	$158.00	$164.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Professional		$62.14	$62.14	$62.14
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 $52.50 / $52.50 / $74.56	Facility		$52.50	$52.50	$74.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $124.28 / $304.38	Facility		$52.50	$124.28	$304.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $62.14 / $293.00	Professional		$37.28	$62.14	$293.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $62.14 / $93.21	Professional		$30.76	$62.14	$93.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $74.56	Facility		$52.50	$52.50	$74.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $151.96 / $211.20	Professional		$72.95	$151.96	$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 $30.87 / $32.93 / $36.25	Professional		$30.87	$32.93	$36.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $59.86 / $132.33	Professional		$59.86	$59.86	$132.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $197.15 / $339.28	Professional		$59.86	$197.15	$339.28
United Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $49.71 / $221.51	Professional		$34.90	$49.71	$221.51