Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.18 / $266.08 / $697.62	Facility		$70.18	$266.08	$697.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $45.76 / $61.03	Professional		$44.31	$45.76	$61.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.35 / $132.24 / $139.87	Facility		$109.35	$132.24	$139.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $25.11 / $203.44	Professional		$25.11	$25.11	$203.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $138.11 / $143.54	Facility		$34.70	$138.11	$143.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $163.22 / $250.38	Facility		$139.66	$163.22	$250.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $136.96 / $155.63	Professional		$58.23	$136.96	$155.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $45.29 / $61.03	Facility		$45.29	$45.29	$61.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $50.86 / $259.18	Facility		$45.29	$50.86	$259.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $40.69 / $113.00	Professional		$19.18	$40.69	$113.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $55.00 / $85.00	Professional		$25.43	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $45.29 / $61.03	Facility		$45.29	$45.29	$61.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $124.34 / $172.70	Professional		$62.16	$124.34	$172.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $242.94	Facility		$101.72	$101.72	$242.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $33.47 / $49.66	Professional		$26.96	$33.47	$49.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $103.88 / $108.31	Professional		$103.88	$103.88	$108.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $103.88 / $277.70	Professional		$103.88	$103.88	$277.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $40.69 / $113.00	Professional		$19.64	$40.69	$113.00