Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $87.74 / $130.43	Facility		$70.19	$87.74	$130.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $54.98 / $70.19	Professional		$29.25	$54.98	$70.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $152.07 / $160.85	Facility		$125.75	$152.07	$160.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $58.49 / $250.51	Professional		$23.40	$58.49	$250.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $148.56	Facility		$142.94	$142.94	$148.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.30 / $188.49 / $289.14	Facility		$161.30	$188.49	$289.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $157.50 / $178.98	Professional		$67.31	$157.50	$178.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $70.19 / $204.72	Facility		$45.04	$70.19	$204.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $70.19 / $204.72	Facility		$52.64	$70.19	$204.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $35.09 / $180.37	Professional		$29.25	$35.09	$180.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $70.19 / $204.72	Facility		$45.04	$70.19	$204.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $142.77 / $195.81	Professional		$110.89	$142.77	$195.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $159.56 / $277.83 / $277.83	Facility		$159.56	$277.83	$277.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $292.45 / $292.45	Professional		$84.81	$292.45	$292.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $124.56 / $124.56	Professional		$124.56	$124.56	$124.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $319.36 / $319.36	Professional		$169.98	$319.36	$319.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $35.09 / $122.83	Professional		$25.43	$35.09	$122.83