Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $77.18 / $114.73	Facility		$61.74	$77.18	$114.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $41.16 / $61.74	Professional		$35.75	$41.16	$61.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.62 / $133.77 / $141.49	Facility		$110.62	$133.77	$141.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $55.81 / $221.24	Professional		$55.81	$55.81	$221.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $76.42 / $130.68	Facility		$51.45	$76.42	$130.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $54.02 / $66.50	Professional		$51.45	$54.02	$66.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $165.33 / $253.61	Facility		$141.47	$165.33	$253.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $138.55 / $157.44	Professional		$59.06	$138.55	$157.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $61.74 / $180.08	Facility		$39.61	$61.74	$180.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $61.74 / $180.08	Facility		$46.31	$61.74	$180.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $30.87 / $158.66	Professional		$25.73	$30.87	$158.66
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 $39.61 / $61.74 / $180.08	Facility		$39.61	$61.74	$180.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $125.42 / $172.01	Professional		$97.88	$125.42	$172.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $412.15 / $412.15 / $412.15	Facility		$412.15	$412.15	$412.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $257.25 / $257.25	Professional		$74.59	$257.25	$257.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $109.57 / $109.57	Professional		$109.57	$109.57	$109.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $280.92 / $280.92	Professional		$149.52	$280.92	$280.92
United Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $30.87 / $95.77	Professional		$22.37	$30.87	$95.77