Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $73.55 / $109.34	Facility		$58.84	$73.55	$109.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $58.84 / $192.74	Professional		$40.20	$58.84	$192.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.41 / $127.48 / $134.83	Facility		$105.41	$127.48	$134.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $24.21 / $202.87	Professional		$24.21	$24.21	$202.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $133.12 / $138.35	Facility		$37.31	$133.12	$138.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $157.94 / $242.31	Facility		$135.16	$157.94	$242.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $132.03 / $150.04	Professional		$56.58	$132.03	$150.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $43.67 / $58.84	Facility		$43.67	$43.67	$58.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $44.13 / $368.90	Facility		$40.20	$44.13	$368.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $49.03 / $135.81	Professional		$28.77	$49.03	$135.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $55.00 / $85.00	Professional		$24.52	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $43.67 / $58.84	Facility		$43.67	$43.67	$58.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $120.38 / $527.10	Professional		$59.92	$120.38	$527.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $116.85 / $368.90	Facility		$98.06	$116.85	$368.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $32.34 / $47.83	Professional		$25.99	$32.34	$47.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $50.44 / $104.41	Professional		$50.44	$50.44	$104.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $225.06 / $267.70	Professional		$50.44	$225.06	$267.70
United Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Facility		$49.03	$49.03	$49.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $40.43 / $134.37	Professional		$24.52	$40.43	$134.37