Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.63 / $160.97 / $850.99	Facility		$86.63	$160.97	$850.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $52.83 / $86.63	Professional		$52.18	$52.83	$86.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.21 / $187.69 / $198.52	Facility		$155.21	$187.69	$198.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $294.48	Professional		$28.88	$28.88	$294.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $176.42 / $183.36	Facility		$57.58	$176.42	$183.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.25 / $231.67 / $355.38	Facility		$198.25	$231.67	$355.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $194.39 / $220.90	Professional		$83.01	$194.39	$220.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $46.92 / $86.63	Facility		$46.92	$46.92	$86.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $59.20 / $342.90	Facility		$46.92	$59.20	$342.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $72.19 / $151.60	Professional		$41.87	$72.19	$151.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $65.00 / $108.29	Professional		$36.10	$65.00	$108.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $46.92 / $86.63	Facility		$46.92	$46.92	$86.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $172.00 / $245.30	Professional		$84.74	$172.00	$245.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.38 / $144.38 / $342.90	Facility		$144.38	$144.38	$342.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $38.26 / $38.26	Professional		$32.65	$38.26	$38.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $72.19 / $153.72	Professional		$72.19	$72.19	$153.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $379.00 / $394.16	Professional		$72.19	$379.00	$394.16
United Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $43.31 / $134.37	Professional		$36.10	$43.31	$134.37