Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $95.94 / $142.63	Facility		$76.75	$95.94	$142.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $71.28 / $87.83	Professional		$49.25	$71.28	$87.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.51 / $166.30 / $175.89	Facility		$137.51	$166.30	$175.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $63.96 / $273.94	Professional		$25.58	$63.96	$273.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $95.00 / $169.34	Facility		$63.96	$95.00	$169.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $67.16 / $82.82	Professional		$63.96	$67.16	$82.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $205.34 / $315.00	Facility		$175.72	$205.34	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $172.23 / $195.71	Professional		$73.51	$172.23	$195.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $76.75 / $223.86	Facility		$49.25	$76.75	$223.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $76.75 / $223.86	Facility		$57.56	$76.75	$223.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $38.38 / $197.24	Professional		$31.98	$38.38	$197.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $176.53	Professional		$50.00	$70.00	$176.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $76.75 / $223.86	Facility		$49.25	$76.75	$223.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $156.18 / $214.20	Professional		$121.84	$156.18	$214.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $303.81 / $303.81	Facility		$138.16	$303.81	$303.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $319.80 / $319.80	Professional		$92.74	$319.80	$319.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $136.21 / $136.21	Professional		$136.21	$136.21	$136.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.88 / $349.22 / $349.22	Professional		$185.88	$349.22	$349.22
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.38 / $134.32	Professional		$26.86	$38.38	$134.32