Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $202.69 / $331.81	Facility		$66.01	$202.69	$331.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.81 / $50.14	Professional		$20.72	$25.81	$50.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $76.95 / $81.40	Facility		$63.64	$76.95	$81.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $126.78	Professional		$16.78	$16.78	$126.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $80.38 / $83.54	Facility		$20.20	$80.38	$83.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Professional		$29.60	$29.60	$29.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $94.77 / $145.38	Facility		$81.09	$94.77	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $79.70 / $90.58	Professional		$34.28	$79.70	$90.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $26.37 / $35.52	Facility		$26.37	$26.37	$35.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $141.07 / $295.14	Facility		$26.37	$141.07	$295.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $29.60 / $96.93	Professional		$17.37	$29.60	$96.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $55.00 / $85.00	Professional		$14.80	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $26.37 / $35.52	Facility		$26.37	$26.37	$35.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $70.95 / $101.20	Professional		$36.18	$70.95	$101.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $59.20 / $141.54	Facility		$59.20	$59.20	$141.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $19.60 / $29.01	Professional		$15.69	$19.60	$29.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $63.03	Professional		$61.80	$61.80	$63.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $148.10 / $161.62	Professional		$61.80	$148.10	$161.62
United Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $29.60 / $112.71	Professional		$17.17	$29.60	$112.71