Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $100.05 / $148.74	Facility		$80.04	$100.05	$148.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $63.37 / $262.32	Professional		$54.69	$63.37	$262.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $173.42 / $183.43	Facility		$143.41	$173.42	$183.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $40.68 / $275.97	Professional		$32.94	$40.68	$275.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $181.14 / $188.26	Facility		$44.49	$181.14	$188.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $214.82 / $329.54	Facility		$183.83	$214.82	$329.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $179.61 / $204.10	Professional		$76.41	$179.61	$204.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $56.26 / $80.04	Facility		$56.26	$56.26	$80.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $60.03 / $316.83	Facility		$54.69	$60.03	$316.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $66.70 / $184.76	Professional		$39.13	$66.70	$184.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $65.00 / $130.77	Professional		$33.35	$65.00	$130.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $56.26 / $80.04	Facility		$56.26	$56.26	$80.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $163.15 / $226.60	Professional		$81.53	$163.15	$226.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.40 / $133.40 / $316.83	Facility		$133.40	$133.40	$316.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $46.54 / $70.56	Professional		$35.35	$46.54	$70.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $68.63 / $142.04	Professional		$68.63	$68.63	$142.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $265.92 / $364.18	Professional		$68.63	$265.92	$364.18
United Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $54.46 / $165.07	Professional		$34.78	$54.46	$165.07