Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $74.39 / $110.59	Facility		$59.51	$74.39	$110.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $47.11 / $102.68	Professional		$38.18	$47.11	$102.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $128.93 / $136.37	Facility		$106.62	$128.93	$136.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $49.59 / $213.24	Professional		$24.49	$49.59	$213.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $145.88 / $145.88	Facility		$139.94	$145.88	$145.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $159.01 / $243.92	Facility		$136.07	$159.01	$243.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $133.54 / $151.75	Professional		$56.99	$133.54	$151.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.18 / $59.51 / $173.57	Facility		$38.18	$59.51	$173.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $59.51 / $173.57	Facility		$44.63	$59.51	$173.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $40.59 / $178.52	Professional		$28.76	$40.59	$178.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $65.00 / $85.00	Professional		$49.59	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.18 / $59.51 / $173.57	Facility		$38.18	$59.51	$173.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $129.15 / $168.30	Professional		$99.45	$129.15	$168.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $235.55 / $235.55	Facility		$107.26	$235.55	$235.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $247.95 / $247.95	Professional		$71.91	$247.95	$247.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $51.02 / $105.60	Professional		$51.02	$51.02	$105.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $51.02 / $270.76	Professional		$51.02	$51.02	$270.76
United Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $59.51 / $59.51	Facility		$59.51	$59.51	$59.51
United Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $40.59 / $142.07	Professional		$28.41	$40.59	$142.07