Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $70.50 / $104.81	Facility		$56.40	$70.50	$104.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $56.40	Professional		$32.50	$39.31	$56.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $122.20 / $129.25	Facility		$101.05	$122.20	$129.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $47.00 / $201.31	Professional		$18.80	$47.00	$201.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.86 / $114.86 / $119.38	Facility		$114.86	$114.86	$119.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $151.63 / $232.61	Facility		$129.76	$151.63	$232.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $126.57 / $143.83	Professional		$54.10	$126.57	$143.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $56.40 / $164.50	Facility		$36.19	$56.40	$164.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $56.40 / $164.50	Facility		$42.30	$56.40	$164.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $28.20 / $144.94	Professional		$23.50	$28.20	$144.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $65.00 / $85.00	Professional		$47.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $56.40 / $164.50	Facility		$36.19	$56.40	$164.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $114.38 / $156.86	Professional		$89.67	$114.38	$156.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $225.86 / $225.86 / $225.86	Facility		$225.86	$225.86	$225.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $235.00 / $235.00	Professional		$68.15	$235.00	$235.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $256.62 / $256.62	Professional		$136.59	$256.62	$256.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $87.49	Professional		$19.73	$28.20	$87.49