Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $98.01 / $498.30	Facility		$78.41	$98.01	$498.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $62.07 / $98.01	Professional		$50.31	$62.07	$98.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $169.88 / $179.69	Facility		$140.47	$169.88	$179.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $59.40 / $279.86	Professional		$26.14	$59.40	$279.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $97.05 / $165.96	Facility		$65.34	$97.05	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $68.61 / $84.48	Professional		$65.34	$68.61	$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 / $175.95 / $199.94	Professional		$75.17	$175.95	$199.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $78.41 / $228.69	Facility		$50.31	$78.41	$228.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $78.41 / $228.69	Facility		$58.81	$78.41	$228.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $39.20 / $201.50	Professional		$29.73	$39.20	$201.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.34 / $85.00	Professional		$50.00	$65.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $78.41 / $228.69	Facility		$50.31	$78.41	$228.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $159.34 / $218.52	Professional		$113.63	$159.34	$218.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.65 / $310.37 / $310.37	Facility		$134.65	$310.37	$310.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $326.70 / $326.70	Professional		$94.74	$326.70	$326.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $44.91 / $139.13	Professional		$44.91	$44.91	$139.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $174.02 / $356.76	Professional		$44.91	$174.02	$356.76
United Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $39.20 / $125.06	Professional		$27.44	$39.20	$125.06