Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $150.21 / $351.96	Facility		$80.83	$150.21	$351.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $60.62 / $90.69	Professional		$58.71	$60.62	$90.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.82 / $175.14 / $185.24	Facility		$144.82	$175.14	$185.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $33.26 / $278.70	Professional		$33.26	$33.26	$278.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $182.90 / $190.09	Facility		$45.96	$182.90	$190.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Professional		$67.36	$67.36	$67.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.63 / $216.92 / $332.77	Facility		$185.63	$216.92	$332.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $181.39 / $206.13	Professional		$77.23	$181.39	$206.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $59.99 / $80.83	Facility		$59.99	$59.99	$80.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $64.81 / $321.95	Facility		$59.99	$64.81	$321.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $67.36 / $186.59	Professional		$40.42	$67.36	$186.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $65.00 / $132.05	Professional		$33.68	$65.00	$132.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $59.99 / $80.83	Facility		$59.99	$59.99	$80.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $164.74 / $272.89	Professional		$82.32	$164.74	$272.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $134.72 / $321.95	Facility		$134.72	$134.72	$321.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $44.42 / $65.86	Professional		$35.70	$44.42	$65.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $143.44 / $224.33	Professional		$143.44	$143.44	$224.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $224.33 / $224.33 / $367.79	Professional		$224.33	$224.33	$367.79
United Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $55.55 / $184.60	Professional		$39.07	$55.55	$184.60