Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $69.47 / $103.27	Facility		$55.57	$69.47	$103.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $37.97 / $55.57	Professional		$33.22	$37.97	$55.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $120.41 / $127.35	Facility		$99.57	$120.41	$127.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $188.92	Professional		$18.52	$18.52	$188.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.65 / $113.18 / $117.63	Facility		$29.65	$113.18	$117.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $46.31 / $46.31	Professional		$46.31	$46.31	$46.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.06 / $148.47 / $227.77	Facility		$127.06	$148.47	$227.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $124.71 / $141.71	Professional		$53.28	$124.71	$141.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $55.57	Facility		$34.26	$34.26	$55.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $37.97 / $219.97	Facility		$34.26	$37.97	$219.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $46.31 / $99.60	Professional		$26.86	$46.31	$99.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $55.00 / $85.00	Professional		$23.16	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $55.57	Facility		$34.26	$34.26	$55.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $110.30 / $154.69	Professional		$54.34	$110.30	$154.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $92.62 / $92.62 / $219.97	Facility		$92.62	$92.62	$219.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $22.69 / $22.69	Professional		$22.37	$22.69	$22.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $98.62 / $171.52	Professional		$98.62	$98.62	$171.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $171.52 / $252.85	Professional		$135.31	$171.52	$252.85
United Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $37.04 / $99.60	Professional		$24.78	$37.04	$99.60