Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $46.29 / $204.16	Facility		$37.03	$46.29	$204.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $29.01 / $90.20	Professional		$22.48	$29.01	$90.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $80.23 / $84.87	Facility		$66.34	$80.23	$84.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $125.88	Professional		$12.34	$12.34	$125.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $75.42 / $78.38	Facility		$20.68	$75.42	$78.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.71 / $98.98 / $151.85	Facility		$84.71	$98.98	$151.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $83.11 / $94.44	Professional		$35.52	$83.11	$94.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $22.08 / $37.03	Facility		$20.44	$22.08	$37.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $27.77 / $146.59	Facility		$20.44	$27.77	$146.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $30.86 / $70.37	Professional		$17.89	$30.86	$70.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $46.29 / $85.00	Professional		$15.43	$46.29	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $22.08 / $37.03	Facility		$20.44	$22.08	$37.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $73.27 / $102.77	Professional		$36.10	$73.27	$102.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $61.72 / $146.59	Facility		$61.72	$61.72	$146.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $16.03 / $16.03	Professional		$15.19	$16.03	$16.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $65.72 / $473.80	Professional		$65.72	$65.72	$473.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $168.50 / $473.80	Professional		$91.46	$168.50	$473.80
United Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Facility		$30.86	$30.86	$30.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $24.69 / $95.17	Professional		$16.66	$24.69	$95.17