Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $83.84 / $124.64	Facility		$67.06	$83.84	$124.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $67.06 / $350.43	Professional		$45.83	$67.06	$350.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.16 / $145.31 / $153.69	Facility		$120.16	$145.31	$153.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $34.09 / $231.25	Professional		$27.60	$34.09	$231.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $151.74 / $157.71	Facility		$37.28	$151.74	$157.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.09 / $180.07 / $276.23	Facility		$154.09	$180.07	$276.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $150.50 / $171.03	Professional		$64.43	$150.50	$171.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $23.66 / $67.06	Facility		$19.71	$23.66	$67.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $45.83 / $265.48	Facility		$19.71	$45.83	$265.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $55.89 / $154.82	Professional		$32.79	$55.89	$154.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $65.00 / $154.26	Professional		$27.95	$65.00	$154.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $23.66 / $67.06	Facility		$19.71	$23.66	$67.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $137.02 / $306.45	Professional		$68.30	$137.02	$306.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $111.78 / $265.48	Facility		$111.78	$111.78	$265.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $29.62 / $39.99	Professional		$26.78	$29.62	$39.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $119.02	Professional		$57.50	$57.50	$119.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $305.16	Professional		$57.50	$57.50	$305.16
United Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $55.89 / $55.89	Facility		$55.89	$55.89	$55.89
United Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $47.18 / $138.35	Professional		$32.42	$47.18	$138.35