Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $102.83 / $152.87	Facility		$82.26	$102.83	$152.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $65.12 / $102.83	Professional		$52.78	$65.12	$102.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $178.23 / $188.51	Facility		$147.38	$178.23	$188.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $59.40 / $293.62	Professional		$27.42	$59.40	$293.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $181.49 / $181.49	Facility		$174.12	$181.49	$181.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $220.08 / $337.61	Facility		$188.33	$220.08	$337.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $184.59 / $209.76	Professional		$78.88	$184.59	$209.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $82.26 / $239.93	Facility		$52.78	$82.26	$239.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $82.26 / $239.93	Facility		$61.70	$82.26	$239.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $41.13 / $211.40	Professional		$29.80	$41.13	$211.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $65.00 / $85.00	Professional		$47.64	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $82.26 / $239.93	Facility		$52.78	$82.26	$239.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $167.23 / $229.34	Professional		$113.63	$167.23	$229.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $137.10 / $325.61 / $325.61	Facility		$137.10	$325.61	$325.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $342.75 / $342.75	Professional		$99.40	$342.75	$342.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $44.91 / $145.97	Professional		$44.91	$44.91	$145.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $44.91 / $374.28	Professional		$44.91	$44.91	$374.28
United Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $41.13 / $125.06	Professional		$29.78	$41.13	$125.06