Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $75.62 / $112.41	Facility		$60.49	$75.62	$112.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $58.85 / $198.20	Professional		$41.34	$58.85	$198.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $131.07 / $138.63	Facility		$108.38	$131.07	$138.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $30.75 / $208.58	Professional		$24.90	$30.75	$208.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $136.88 / $142.27	Facility		$33.63	$136.88	$142.27
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 / $135.74 / $154.25	Professional		$57.82	$135.74	$154.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.59 / $41.59 / $60.49	Facility		$41.59	$41.59	$60.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $45.19 / $239.45	Facility		$41.34	$45.19	$239.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $50.41 / $139.63	Professional		$29.57	$50.41	$139.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $65.00 / $139.13	Professional		$25.21	$65.00	$139.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.59 / $41.59 / $60.49	Facility		$41.59	$41.59	$60.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $123.55 / $266.69	Professional		$61.61	$123.55	$266.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $100.82 / $239.45	Facility		$100.82	$100.82	$239.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $33.97 / $47.31	Professional		$26.72	$33.97	$47.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $51.86 / $107.35	Professional		$51.86	$51.86	$107.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $51.86 / $275.24	Professional		$51.86	$51.86	$275.24
United Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $42.25 / $138.15	Professional		$25.21	$42.25	$138.15