Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $76.61 / $113.89	Facility		$61.28	$76.61	$113.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $48.52 / $77.63	Professional		$39.32	$48.52	$77.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.80 / $132.78 / $140.44	Facility		$109.80	$132.78	$140.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $51.07 / $218.74	Professional		$20.43	$51.07	$218.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $124.81 / $129.72	Facility		$124.81	$124.81	$129.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.57 / $164.27 / $252.00	Facility		$140.57	$164.27	$252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $137.52 / $156.28	Professional		$58.65	$137.52	$156.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $61.28 / $178.75	Facility		$39.32	$61.28	$178.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $61.28 / $178.75	Facility		$45.96	$61.28	$178.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $30.64 / $157.49	Professional		$25.54	$30.64	$157.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $61.28 / $178.75	Facility		$39.32	$61.28	$178.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $124.63 / $170.92	Professional		$97.20	$124.63	$170.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $242.58 / $242.58	Facility		$102.14	$242.58	$242.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $255.35 / $263.00	Professional		$128.87	$255.35	$263.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $108.76 / $108.76	Professional		$108.76	$108.76	$108.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $278.83 / $278.83	Professional		$148.41	$278.83	$278.83
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.64 / $107.25	Professional		$21.45	$30.64	$107.25