Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $103.38 / $153.69	Facility		$82.70	$103.38	$153.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $64.78 / $82.70	Professional		$56.51	$64.78	$82.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.18 / $179.19 / $189.53	Facility		$148.18	$179.19	$189.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $281.14	Professional		$32.40	$32.40	$281.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $182.49 / $189.66	Facility		$68.92	$182.49	$189.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.24 / $221.14 / $339.23	Facility		$189.24	$221.14	$339.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $185.59 / $210.90	Professional		$79.30	$185.59	$210.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $82.70	Facility		$36.53	$36.53	$82.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $56.51 / $327.37	Facility		$36.53	$56.51	$327.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $68.92 / $170.16	Professional		$40.52	$68.92	$170.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $58.75 / $103.38	Professional		$34.11	$58.75	$103.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $82.70	Facility		$36.53	$36.53	$82.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $168.01 / $234.30	Professional		$82.14	$168.01	$234.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $137.84 / $137.84 / $327.37	Facility		$137.84	$137.84	$327.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $36.53 / $36.53	Professional		$36.53	$36.53	$36.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $146.77 / $146.77	Professional		$146.77	$146.77	$146.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $376.30 / $376.30	Professional		$200.30	$376.30	$376.30
United Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $55.14 / $170.16	Professional		$39.97	$55.14	$170.16