Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $76.29 / $113.42	Facility		$61.03	$76.29	$113.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $47.81 / $61.03	Professional		$36.49	$47.81	$61.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.35 / $132.24 / $139.87	Facility		$109.35	$132.24	$139.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $20.34 / $207.47	Professional		$20.34	$20.34	$207.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $124.30 / $129.18	Facility		$28.09	$124.30	$129.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $163.22 / $250.38	Facility		$139.66	$163.22	$250.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $136.96 / $155.63	Professional		$58.23	$136.96	$155.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $25.43 / $61.03	Facility		$25.43	$25.43	$61.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $41.71 / $241.59	Facility		$25.43	$41.71	$241.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $39.71 / $91.55	Professional		$21.36	$39.71	$91.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $65.00 / $85.00	Professional		$25.43	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $25.43 / $61.03	Facility		$25.43	$25.43	$61.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $121.09 / $169.84	Professional		$56.13	$121.09	$169.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $241.59	Facility		$101.72	$101.72	$241.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $22.37	Professional		$9.05	$9.05	$22.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $42.23 / $108.31	Professional		$42.23	$42.23	$108.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $42.23 / $277.70	Professional		$42.23	$42.23	$277.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.52 / $91.55	Professional		$21.36	$30.52	$91.55