Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $100.97	Facility		$45.23	$45.23	$100.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $45.23	Professional		$45.22	$45.23	$45.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $31.15 / $184.72	Professional		$18.11	$31.15	$184.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $45.28 / $115.01	Facility		$37.22	$45.28	$115.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.67 / $115.31 / $176.88	Facility		$98.67	$115.31	$176.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $121.94 / $138.56	Professional		$52.04	$121.94	$138.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.28	Facility		$45.23	$45.23	$45.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $215.08	Facility		$45.23	$45.23	$215.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $45.23 / $94.98	Professional		$27.14	$45.23	$94.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $38.60 / $85.00	Professional		$22.41	$38.60	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.28	Facility		$45.23	$45.23	$45.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $107.98 / $154.00	Professional		$34.22	$107.98	$154.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.56 / $90.56 / $215.08	Facility		$90.56	$90.56	$215.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $30.76 / $30.76	Professional		$22.54	$30.76	$30.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $96.43 / $96.43	Professional		$96.43	$96.43	$96.43
Security Health Facility/Professional Facility Modifier Low / Median / High Price $54.28 / $54.28 / $54.28	Facility		$54.28	$54.28	$54.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $57.23 / $247.23	Professional		$45.23	$57.23	$247.23
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $45.23 / $92.75	Professional		$27.14	$45.23	$92.75