Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $77.45 / $115.16	Facility		$61.97	$77.45	$115.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $53.71 / $61.97	Professional		$27.37	$53.71	$61.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.03 / $134.26 / $142.01	Facility		$111.03	$134.26	$142.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $31.50 / $213.66	Professional		$25.50	$31.50	$213.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $140.21 / $145.72	Facility		$34.45	$140.21	$145.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $166.38 / $255.23	Facility		$142.38	$166.38	$255.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $139.05 / $158.01	Professional		$59.47	$139.05	$158.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $42.26 / $61.97	Facility		$42.26	$42.26	$61.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $45.92 / $757.56	Facility		$42.26	$45.92	$757.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $51.64 / $143.04	Professional		$29.95	$51.64	$143.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $65.00 / $142.58	Professional		$25.82	$65.00	$142.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $42.26 / $61.97	Facility		$42.26	$42.26	$61.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $126.72 / $219.02	Professional		$63.11	$126.72	$219.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $103.28 / $757.56	Facility		$103.28	$103.28	$757.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $27.37 / $39.99	Professional		$26.78	$27.37	$39.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $51.86 / $109.97	Professional		$51.86	$51.86	$109.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $200.96 / $281.95	Professional		$51.86	$200.96	$281.95
United Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $41.31 / $124.81	Professional		$25.82	$41.31	$124.81