Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $222.72 / $310.25	Facility		$56.38	$222.72	$310.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $42.60 / $56.38	Professional		$40.95	$42.60	$56.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.01 / $122.15 / $129.19	Facility		$101.01	$122.15	$129.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $194.38	Professional		$23.20	$23.20	$194.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $127.57 / $132.59	Facility		$37.71	$127.57	$132.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $46.98 / $46.98	Professional		$46.98	$46.98	$46.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $150.58 / $231.00	Facility		$128.86	$150.58	$231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $126.51 / $143.76	Professional		$54.10	$126.51	$143.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $41.85 / $56.38	Facility		$41.85	$41.85	$56.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $42.28 / $224.07	Facility		$38.52	$42.28	$224.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $46.98 / $130.13	Professional		$28.19	$46.98	$130.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $65.00 / $129.66	Professional		$23.49	$65.00	$129.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $41.85 / $56.38	Facility		$41.85	$41.85	$56.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $114.84 / $292.82	Professional		$57.42	$114.84	$292.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.96 / $111.99 / $224.07	Facility		$93.96	$111.99	$224.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $31.03 / $46.00	Professional		$24.90	$31.03	$46.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $92.91 / $100.05	Professional		$92.91	$92.91	$100.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $136.52 / $256.51	Professional		$92.91	$136.52	$256.51
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.75 / $116.32	Professional		$27.25	$38.75	$116.32