Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $83.31 / $123.85	Facility		$66.65	$83.31	$123.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $52.21 / $66.65	Professional		$45.54	$52.21	$66.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.41 / $144.40 / $152.74	Facility		$119.41	$144.40	$152.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $226.57	Professional		$22.22	$22.22	$226.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $135.72 / $141.07	Facility		$50.15	$135.72	$141.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $179.02 / $274.61	Facility		$153.19	$179.02	$274.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $149.56 / $169.95	Professional		$64.02	$149.56	$169.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $55.54 / $282.00	Facility		$27.77	$55.54	$282.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $66.65 / $263.82	Facility		$27.77	$66.65	$263.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $55.54 / $116.63	Professional		$32.21	$55.54	$116.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $55.00 / $85.00	Professional		$27.49	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $55.54 / $282.00	Facility		$27.77	$55.54	$282.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $132.66 / $186.07	Professional		$65.36	$132.66	$186.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $111.08 / $111.08 / $263.82	Facility		$111.08	$111.08	$263.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $29.44 / $29.44	Professional		$29.44	$29.44	$29.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $118.27 / $118.27	Professional		$118.27	$118.27	$118.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $303.25 / $303.25	Professional		$161.41	$303.25	$303.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $33.32 / $116.63	Professional		$27.77	$33.32	$116.63