Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $100.82 / $149.88	Facility		$80.65	$100.82	$149.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $63.85 / $264.26	Professional		$55.11	$63.85	$264.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $174.75 / $184.83	Facility		$144.50	$174.75	$184.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $40.99 / $278.08	Professional		$33.19	$40.99	$278.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $189.69 / $197.72	Facility		$44.83	$189.69	$197.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.73 / $215.87 / $331.15	Facility		$184.73	$215.87	$331.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $180.98 / $205.66	Professional		$77.23	$180.98	$205.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $55.45 / $80.65	Facility		$55.45	$55.45	$80.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $60.25 / $319.25	Facility		$55.11	$60.25	$319.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $67.20 / $186.17	Professional		$39.43	$67.20	$186.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $65.00 / $131.77	Professional		$33.61	$65.00	$131.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $55.45 / $80.65	Facility		$55.45	$55.45	$80.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $164.74 / $581.09	Professional		$82.15	$164.74	$581.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $319.25	Facility		$134.41	$134.41	$319.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $35.76 / $59.33	Professional		$35.61	$35.76	$59.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $69.15 / $143.13	Professional		$69.15	$69.15	$143.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $195.31 / $366.97	Professional		$69.15	$195.31	$366.97
United Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $55.44 / $166.34	Professional		$33.61	$55.44	$166.34