Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.31 / $199.04 / $302.20	Facility		$62.31	$199.04	$302.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $25.07 / $49.92	Professional		$20.66	$25.07	$49.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $72.64 / $76.84	Facility		$60.07	$72.64	$76.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $115.61	Professional		$13.80	$13.80	$115.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $75.86 / $78.84	Facility		$19.05	$75.86	$78.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $27.94 / $27.94	Professional		$27.94	$27.94	$27.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $89.51 / $137.31	Facility		$76.59	$89.51	$137.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $75.23 / $85.50	Professional		$31.80	$75.23	$85.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $24.89 / $33.53	Facility		$24.89	$24.89	$33.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $100.60 / $223.21	Facility		$24.89	$100.60	$223.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $27.94 / $69.17	Professional		$16.76	$27.94	$69.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $54.78 / $85.00	Professional		$13.97	$54.78	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $24.89 / $33.53	Facility		$24.89	$24.89	$33.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $68.11 / $219.64	Professional		$34.14	$68.11	$219.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $55.88 / $133.26	Facility		$55.88	$55.88	$133.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $18.45 / $27.44	Professional		$14.81	$18.45	$27.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $58.71 / $59.50	Professional		$58.71	$58.71	$59.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $58.71 / $152.55	Professional		$58.71	$58.71	$152.55
United Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $23.59 / $76.56	Professional		$16.21	$23.59	$76.56