Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $65.48 / $97.34	Facility		$52.38	$65.48	$97.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $46.68 / $52.38	Professional		$33.61	$46.68	$52.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.85 / $113.49 / $120.04	Facility		$93.85	$113.49	$120.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $43.65 / $187.70	Professional		$21.56	$43.65	$187.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $118.53 / $123.19	Facility		$118.53	$118.53	$123.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.85 / $140.05 / $214.84	Facility		$119.85	$140.05	$214.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $117.55 / $133.58	Professional		$50.39	$117.55	$133.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $52.38 / $152.78	Facility		$33.61	$52.38	$152.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $52.38 / $152.78	Facility		$39.29	$52.38	$152.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $35.72 / $157.13	Professional		$25.32	$35.72	$157.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $65.00 / $85.00	Professional		$43.65	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $52.38 / $152.78	Facility		$33.61	$52.38	$152.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $113.63 / $148.50	Professional		$87.75	$113.63	$148.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $207.34 / $207.34	Facility		$94.41	$207.34	$207.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $218.25 / $218.25	Professional		$63.29	$218.25	$218.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $44.91 / $92.95	Professional		$44.91	$44.91	$92.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $147.91 / $238.33	Professional		$44.91	$147.91	$238.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $34.92 / $119.62	Professional		$25.01	$34.92	$119.62