Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $92.28 / $137.19	Facility		$73.81	$92.28	$137.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $58.44 / $93.51	Professional		$47.37	$58.44	$93.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.27 / $159.94 / $169.18	Facility		$132.27	$159.94	$169.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $61.52 / $263.49	Professional		$24.61	$61.52	$263.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $150.35 / $156.26	Facility		$150.35	$150.35	$156.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.41 / $197.97 / $303.69	Facility		$169.41	$197.97	$303.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $165.66 / $188.25	Professional		$70.62	$165.66	$188.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $73.81 / $215.32	Facility		$47.37	$73.81	$215.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.37 / $73.81 / $215.32	Facility		$55.37	$73.81	$215.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $36.90 / $189.72	Professional		$30.76	$36.90	$189.72
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 $47.37 / $73.81 / $215.32	Facility		$47.37	$73.81	$215.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $149.87 / $205.54	Professional		$117.05	$149.87	$205.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $232.07 / $292.22 / $292.22	Facility		$232.07	$292.22	$292.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $307.60 / $307.60	Professional		$89.20	$307.60	$307.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $131.01 / $131.01	Professional		$131.01	$131.01	$131.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $178.79 / $335.90 / $335.90	Professional		$178.79	$335.90	$335.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $36.90 / $114.51	Professional		$27.68	$36.90	$114.51