Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $355.96 / $724.10	Facility		$69.34	$355.96	$724.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $36.79 / $80.95	Professional		$34.58	$36.79	$80.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.75 / $107.33 / $113.52	Facility		$88.75	$107.33	$113.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $170.79	Professional		$20.38	$20.38	$170.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $112.07 / $116.48	Facility		$28.16	$112.07	$116.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $41.28 / $41.28	Professional		$41.28	$41.28	$41.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $132.68 / $203.54	Facility		$113.54	$132.68	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $111.16 / $126.31	Professional		$47.50	$111.16	$126.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $36.76 / $49.54	Facility		$36.76	$36.76	$49.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $127.66 / $372.09	Facility		$36.76	$127.66	$372.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $41.28 / $121.11	Professional		$23.94	$41.28	$121.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $61.92 / $113.93	Professional		$20.64	$61.92	$113.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $36.76 / $49.54	Facility		$36.76	$36.76	$49.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $101.38 / $285.49	Professional		$50.45	$101.38	$285.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.56 / $82.56 / $196.95	Facility		$82.56	$82.56	$196.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.27 / $40.25	Professional		$21.88	$27.27	$40.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $87.91 / $175.10	Professional		$87.91	$87.91	$175.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $175.10 / $225.39	Professional		$164.55	$175.10	$225.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $34.60 / $113.13	Professional		$20.64	$34.60	$113.13