Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $131.82 / $195.97	Facility		$105.46	$131.82	$195.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $83.49 / $253.22	Professional		$72.06	$83.49	$253.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.94 / $228.49 / $241.67	Facility		$188.94	$228.49	$241.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $358.49	Professional		$35.15	$35.15	$358.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $214.77 / $223.22	Facility		$58.58	$214.77	$223.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.50 / $282.20 / $432.92	Facility		$241.50	$282.20	$432.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $236.64 / $268.91	Professional		$101.19	$236.64	$268.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $61.98 / $105.46	Facility		$57.37	$61.98	$105.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $72.06 / $417.43	Facility		$57.37	$72.06	$417.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $70.69 / $188.98	Professional		$47.02	$70.69	$188.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $74.92 / $131.82	Professional		$43.94	$74.92	$131.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $61.98 / $105.46	Facility		$57.37	$61.98	$105.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $215.42 / $294.25	Professional		$103.36	$215.42	$294.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $175.76 / $175.76 / $417.43	Facility		$175.76	$175.76	$417.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $43.07 / $62.99	Professional		$42.46	$43.07	$62.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $66.27 / $187.14	Professional		$66.27	$66.27	$187.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $256.79 / $479.82	Professional		$66.27	$256.79	$479.82
United Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $87.88 / $87.88	Facility		$87.88	$87.88	$87.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $54.38 / $188.98	Professional		$43.94	$54.38	$188.98