Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $75.75 / $112.62	Facility		$60.60	$75.75	$112.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $47.47 / $198.54	Professional		$36.77	$47.47	$198.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.58 / $131.30 / $138.88	Facility		$108.58	$131.30	$138.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $30.80 / $208.95	Professional		$24.94	$30.80	$208.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $142.52 / $148.55	Facility		$33.69	$142.52	$148.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $162.16 / $248.77	Facility		$138.77	$162.16	$248.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $135.97 / $154.53	Professional		$57.82	$135.97	$154.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $38.19 / $60.60	Facility		$34.69	$38.19	$60.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $41.41 / $239.88	Facility		$34.69	$41.41	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $50.50 / $139.88	Professional		$29.64	$50.50	$139.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $65.00 / $98.99	Professional		$25.00	$65.00	$98.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $38.19 / $60.60	Facility		$34.69	$38.19	$60.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $123.55 / $183.84	Professional		$61.72	$123.55	$183.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $239.88	Facility		$101.00	$101.00	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $30.38 / $58.02	Professional		$26.77	$30.38	$58.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $51.95 / $107.54	Professional		$51.95	$51.95	$107.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $51.95 / $275.73	Professional		$51.95	$51.95	$275.73
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $42.34 / $138.40	Professional		$28.00	$42.34	$138.40