Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $69.11 / $102.74	Facility		$55.28	$69.11	$102.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $43.77 / $181.04	Professional		$37.78	$43.77	$181.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $119.78 / $126.69	Facility		$99.05	$119.78	$126.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $28.10 / $190.61	Professional		$22.75	$28.10	$190.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $125.10 / $130.02	Facility		$30.73	$125.10	$130.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.06 / $148.47 / $227.77	Facility		$127.06	$148.47	$227.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $124.06 / $140.97	Professional		$52.86	$124.06	$140.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $31.89 / $55.28	Facility		$28.63	$31.89	$55.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $37.78 / $218.83	Facility		$28.63	$37.78	$218.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $46.07 / $127.61	Professional		$27.04	$46.07	$127.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $55.00 / $90.31	Professional		$23.04	$55.00	$90.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $31.89 / $55.28	Facility		$28.63	$31.89	$55.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $112.46 / $156.19	Professional		$56.31	$112.46	$156.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $92.14 / $92.14 / $218.83	Facility		$92.14	$92.14	$218.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $30.38 / $59.85	Professional		$24.42	$30.38	$59.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $47.40 / $98.11	Professional		$47.40	$47.40	$98.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $47.40 / $251.54	Professional		$47.40	$47.40	$251.54
United Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $111.08	Facility		$40.95	$40.95	$111.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $38.63 / $126.25	Professional		$23.04	$38.63	$126.25