Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $96.62 / $143.63	Facility		$77.29	$96.62	$143.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $61.19 / $253.22	Professional		$52.82	$61.19	$253.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $167.47 / $177.13	Facility		$138.47	$167.47	$177.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $266.50	Professional		$31.81	$31.81	$266.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $174.91 / $181.79	Facility		$43.95	$174.91	$181.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $207.45 / $318.23	Facility		$177.52	$207.45	$318.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $173.45 / $197.10	Professional		$73.93	$173.45	$197.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $77.29	Facility		$55.36	$55.36	$77.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $55.36 / $307.83	Facility		$52.82	$55.36	$307.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $64.41 / $178.42	Professional		$38.65	$64.41	$178.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $64.41 / $96.62	Professional		$32.21	$64.41	$96.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $77.29	Facility		$55.36	$55.36	$77.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $157.61 / $218.90	Professional		$78.73	$157.61	$218.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $307.83	Facility		$128.82	$128.82	$307.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $42.46 / $62.99	Professional		$34.14	$42.46	$62.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $66.27 / $137.16	Professional		$66.27	$66.27	$137.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $256.79 / $351.68	Professional		$66.27	$256.79	$351.68
United Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $57.26 / $155.31	Facility		$57.26	$57.26	$155.31
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $53.12 / $176.52	Professional		$37.36	$53.12	$176.52