Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $97.32 / $144.68	Facility		$77.86	$97.32	$144.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $61.64 / $255.06	Professional		$53.20	$61.64	$255.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.49 / $168.69 / $178.42	Facility		$139.49	$168.69	$178.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $268.44	Professional		$32.04	$32.04	$268.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $176.18 / $183.11	Facility		$44.27	$176.18	$183.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.42 / $208.50 / $319.83	Facility		$178.42	$208.50	$319.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $174.71 / $198.54	Professional		$74.75	$174.71	$198.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $57.78 / $77.86	Facility		$57.78	$57.78	$77.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $58.39 / $310.17	Facility		$53.20	$58.39	$310.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $64.88 / $179.72	Professional		$38.93	$64.88	$179.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $64.88 / $97.32	Professional		$32.44	$64.88	$97.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $57.78 / $77.86	Facility		$57.78	$57.78	$77.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $159.19 / $241.58	Professional		$79.30	$159.19	$241.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $129.76 / $310.17	Facility		$129.76	$129.76	$310.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $42.79 / $63.51	Professional		$34.39	$42.79	$63.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $66.75 / $138.16	Professional		$66.75	$66.75	$138.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $188.56 / $354.24	Professional		$66.75	$188.56	$354.24
United Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $53.40 / $177.80	Professional		$37.63	$53.40	$177.80