Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $173.45 / $703.35	Facility		$93.34	$173.45	$703.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $73.89 / $148.29	Professional		$63.78	$73.89	$148.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.23 / $202.23 / $213.90	Facility		$167.23	$202.23	$213.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $312.07	Professional		$31.11	$31.11	$312.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $190.09 / $197.56	Facility		$55.35	$190.09	$197.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.47 / $250.62 / $384.46	Facility		$214.47	$250.62	$384.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $209.45 / $238.01	Professional		$89.21	$209.45	$238.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $36.29 / $93.34	Facility		$33.60	$36.29	$93.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $63.78 / $369.46	Facility		$33.60	$63.78	$369.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $52.70 / $140.00	Professional		$31.11	$52.70	$140.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $65.00 / $116.67	Professional		$38.89	$65.00	$116.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $36.29 / $93.34	Facility		$33.60	$36.29	$93.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $185.11 / $259.63	Professional		$91.20	$185.11	$259.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $155.56 / $155.56 / $369.46	Facility		$155.56	$155.56	$369.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $25.23 / $34.78	Professional		$24.82	$25.23	$34.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $42.64 / $165.64	Professional		$42.64	$42.64	$165.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $178.89 / $424.68	Professional		$42.64	$178.89	$424.68
United Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $77.78 / $77.78	Facility		$77.78	$77.78	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $51.75 / $140.00	Professional		$31.85	$51.75	$140.00