Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $106.85 / $158.84	Facility		$85.48	$106.85	$158.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $67.67 / $204.81	Professional		$58.41	$67.67	$204.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $185.20 / $195.88	Facility		$153.13	$185.20	$195.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $28.49 / $290.57	Professional		$28.49	$28.49	$290.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $174.08 / $180.92	Facility		$37.50	$174.08	$180.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.44 / $229.56 / $352.15	Facility		$196.44	$229.56	$352.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $191.81 / $217.96	Professional		$81.77	$191.81	$217.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $50.36 / $85.48	Facility		$46.61	$50.36	$85.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $58.41 / $338.34	Facility		$46.61	$58.41	$338.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $57.17 / $152.86	Professional		$40.03	$57.17	$152.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $65.00 / $196.59	Professional		$35.61	$65.00	$196.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $50.36 / $85.48	Facility		$46.61	$50.36	$85.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $174.24 / $242.00	Professional		$83.60	$174.24	$242.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $338.34	Facility		$142.46	$142.46	$338.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $35.00 / $51.23	Professional		$34.46	$35.00	$51.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.69 / $151.69 / $194.42	Professional		$151.69	$151.69	$194.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.42 / $247.01 / $388.92	Professional		$194.42	$247.01	$388.92
United Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $71.23 / $71.23	Facility		$71.23	$71.23	$71.23
United Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $56.98 / $132.59	Professional		$38.46	$56.98	$132.59