Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $240.30 / $548.67	Facility		$28.80	$240.30	$548.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $33.58 / $45.10	Professional		$31.67	$33.58	$45.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $100.41 / $106.21	Facility		$83.03	$100.41	$106.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $159.79	Professional		$19.07	$19.07	$159.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $104.87 / $108.99	Facility		$25.76	$104.87	$108.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $38.61	Professional		$38.61	$38.61	$38.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $124.26 / $190.61	Facility		$106.33	$124.26	$190.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $103.99 / $118.18	Professional		$44.19	$103.99	$118.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $46.34	Facility		$34.40	$34.40	$46.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $46.34 / $303.45	Facility		$34.40	$46.34	$303.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $38.61 / $113.34	Professional		$23.17	$38.61	$113.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $55.00 / $85.00	Professional		$19.30	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $46.34	Facility		$34.40	$34.40	$46.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $94.25 / $213.68	Professional		$47.20	$94.25	$213.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $77.23 / $183.99	Facility		$77.23	$77.23	$183.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $25.48 / $37.90	Professional		$20.47	$25.48	$37.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $82.24	Professional		$41.20	$41.20	$82.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $169.40 / $210.87	Professional		$41.20	$169.40	$210.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $31.86 / $105.84	Professional		$22.40	$31.86	$105.84