Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $58.97 / $87.66	Facility		$47.17	$58.97	$87.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $36.95 / $47.17	Professional		$31.45	$36.95	$47.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.52 / $102.21 / $108.10	Facility		$84.52	$102.21	$108.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $39.31 / $168.37	Professional		$15.72	$39.31	$168.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $58.38 / $104.08	Facility		$39.31	$58.38	$104.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $41.28 / $51.03	Professional		$39.31	$41.28	$51.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $126.36 / $193.85	Facility		$108.13	$126.36	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $105.85 / $120.29	Professional		$45.43	$105.85	$120.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $47.17 / $137.59	Facility		$30.27	$47.17	$137.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $47.17 / $137.59	Facility		$35.38	$47.17	$137.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $23.59 / $121.23	Professional		$19.66	$23.59	$121.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $65.00 / $85.00	Professional		$39.31	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $47.17 / $137.59	Facility		$30.27	$47.17	$137.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $96.23 / $131.97	Professional		$74.61	$96.23	$131.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $186.72 / $186.72	Facility		$139.86	$186.72	$186.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $196.55 / $196.55	Professional		$57.00	$196.55	$196.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Professional		$83.71	$83.71	$83.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $214.63 / $214.63	Professional		$114.24	$214.63	$214.63
United Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $23.59 / $82.55	Professional		$17.09	$23.59	$82.55