Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $117.39 / $174.52	Facility		$93.91	$117.39	$174.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $74.34 / $307.62	Professional		$64.17	$74.34	$307.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.26 / $203.48 / $215.22	Facility		$168.26	$203.48	$215.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $47.73 / $323.80	Professional		$38.65	$47.73	$323.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $220.85 / $230.20	Facility		$52.20	$220.85	$230.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.37 / $251.67 / $386.07	Facility		$215.37	$251.67	$386.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $210.74 / $239.48	Professional		$90.03	$210.74	$239.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $41.48 / $93.91	Facility		$41.48	$41.48	$93.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $64.17 / $386.85	Facility		$41.48	$64.17	$386.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $78.26 / $216.78	Professional		$45.92	$78.26	$216.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $66.72 / $153.42	Professional		$39.13	$66.72	$153.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $41.48 / $93.91	Facility		$41.48	$41.48	$93.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $191.66 / $270.10	Professional		$95.65	$191.66	$270.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $156.52 / $156.52 / $386.85	Facility		$156.52	$156.52	$386.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $57.65 / $90.95	Professional		$41.48	$57.65	$90.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $166.66	Professional		$80.51	$80.51	$166.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $427.30	Professional		$80.51	$80.51	$427.30
United Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $59.04 / $62.61	Facility		$59.04	$59.04	$62.61
United Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $65.59 / $216.78	Professional		$39.13	$65.59	$216.78