Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $163.62 / $602.88	Facility		$88.04	$163.62	$602.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $68.97 / $288.80	Professional		$47.69	$68.97	$288.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.75 / $190.76 / $201.77	Facility		$157.75	$190.76	$201.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $73.37 / $314.25	Professional		$30.18	$73.37	$314.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $108.97 / $186.36	Facility		$73.37	$108.97	$186.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $77.04 / $94.94	Professional		$73.37	$77.04	$94.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $235.88 / $361.84	Facility		$201.85	$235.88	$361.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $197.57 / $224.51	Professional		$84.25	$197.57	$224.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $88.04 / $256.80	Facility		$56.49	$88.04	$256.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $99.05 / $336.60	Facility		$66.03	$99.05	$336.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $50.29 / $366.85	Professional		$39.49	$50.29	$366.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $66.70 / $85.00	Professional		$50.00	$66.70	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $88.04 / $256.80	Facility		$56.49	$88.04	$256.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $179.06 / $248.62	Professional		$147.55	$179.06	$248.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $348.51 / $348.51	Facility		$148.76	$348.51	$348.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $366.85 / $366.85	Professional		$106.39	$366.85	$366.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $62.87 / $156.24	Professional		$62.87	$62.87	$156.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $203.74 / $400.60	Professional		$62.87	$203.74	$400.60
United Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $49.94 / $147.72	Professional		$35.02	$49.94	$147.72