Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $145.75 / $497.28	Facility		$78.43	$145.75	$497.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $69.91 / $89.75	Professional		$50.33	$69.91	$89.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $169.94 / $179.74	Facility		$140.52	$169.94	$179.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $65.36 / $281.05	Professional		$32.28	$65.36	$281.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $97.08 / $184.45	Facility		$65.36	$97.08	$184.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $68.63 / $84.48	Professional		$65.36	$68.63	$84.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $210.61 / $323.08	Facility		$180.22	$210.61	$323.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $176.00 / $200.00	Professional		$75.17	$176.00	$200.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.33 / $78.43 / $228.76	Facility		$50.33	$78.43	$228.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $88.24 / $411.72	Facility		$58.82	$88.24	$411.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $53.50 / $326.80	Professional		$39.08	$53.50	$326.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.36 / $85.00	Professional		$50.00	$65.36	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.33 / $78.43 / $228.76	Facility		$50.33	$78.43	$228.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $170.44 / $222.20	Professional		$131.30	$170.44	$222.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $310.45 / $310.45	Facility		$141.36	$310.45	$310.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $326.80 / $326.80	Professional		$94.77	$326.80	$326.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $67.25 / $139.19	Professional		$67.25	$67.25	$139.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $221.48 / $356.87	Professional		$67.25	$221.48	$356.87
United Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $53.37 / $158.00	Professional		$37.45	$53.37	$158.00