Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $104.28 / $155.03	Facility		$83.42	$104.28	$155.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $71.26 / $83.42	Professional		$57.01	$71.26	$83.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $180.75 / $191.18	Facility		$149.47	$180.75	$191.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $27.81 / $283.58	Professional		$27.81	$27.81	$283.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $169.90 / $176.58	Facility		$45.19	$169.90	$176.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $223.24 / $342.46	Facility		$191.04	$223.24	$342.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $187.20 / $212.73	Professional		$80.12	$187.20	$212.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $69.52 / $350.00	Facility		$34.76	$69.52	$350.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $83.42 / $330.22	Facility		$34.76	$83.42	$330.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $69.52 / $145.99	Professional		$40.32	$69.52	$145.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $59.27 / $104.28	Professional		$34.40	$59.27	$104.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $69.52 / $350.00	Facility		$34.76	$69.52	$350.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $165.83 / $232.59	Professional		$81.70	$165.83	$232.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.04 / $139.04 / $330.22	Facility		$139.04	$139.04	$330.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $36.85	Professional		$36.85	$36.85	$36.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $148.05 / $148.05	Professional		$148.05	$148.05	$148.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $379.58 / $379.58	Professional		$202.04	$379.58	$379.58
United Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $60.48 / $184.37	Professional		$37.54	$60.48	$184.37