Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.55 / $120.69 / $185.27	Facility		$96.55	$120.69	$185.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $75.63 / $96.55	Professional		$61.95	$75.63	$96.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $209.20 / $221.27	Facility		$172.99	$209.20	$221.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $32.18 / $321.83	Professional		$32.18	$32.18	$321.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $196.64 / $204.37	Facility		$41.11	$196.64	$204.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.68 / $259.05 / $397.38	Facility		$221.68	$259.05	$397.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $115.64 / $246.21	Professional		$43.65	$115.64	$246.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $8.28 / $96.55	Facility		$7.67	$8.28	$96.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $72.41 / $382.19	Facility		$7.67	$72.41	$382.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $48.28 / $144.83	Professional		$7.09	$48.28	$144.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $65.00 / $85.00	Professional		$30.39	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $8.28 / $96.55	Facility		$7.67	$8.28	$96.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $192.05 / $269.37	Professional		$47.68	$192.05	$269.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $160.91 / $382.19	Facility		$160.91	$160.91	$382.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.76 / $8.36	Professional		$5.72	$5.76	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $171.34	Professional		$8.86	$8.86	$171.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $439.31	Professional		$8.86	$8.86	$439.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $48.28 / $144.83	Professional		$7.22	$48.28	$144.83