Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $262.87 / $446.59	Facility		$85.53	$262.87	$446.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $54.02 / $71.68	Professional		$50.82	$54.02	$71.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $161.15 / $170.45	Facility		$133.26	$161.15	$170.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $30.61 / $265.48	Professional		$30.61	$30.61	$265.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $168.32 / $174.93	Facility		$49.75	$168.32	$174.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Professional		$61.98	$61.98	$61.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.31 / $199.02 / $305.31	Facility		$170.31	$199.02	$305.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $166.90 / $189.66	Professional		$71.45	$166.90	$189.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $53.26 / $74.38	Facility		$53.26	$53.26	$74.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $135.40 / $677.35	Facility		$53.26	$135.40	$677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $61.98 / $171.68	Professional		$36.36	$61.98	$171.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $61.98 / $92.97	Professional		$30.99	$61.98	$92.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $53.26 / $74.38	Facility		$53.26	$53.26	$74.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $152.06 / $211.20	Professional		$75.76	$152.06	$211.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.96 / $147.72 / $296.01	Facility		$123.96	$147.72	$296.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $40.83 / $56.94	Professional		$32.85	$40.83	$56.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $97.85 / $131.99	Professional		$97.85	$97.85	$131.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $210.03 / $338.41	Professional		$97.85	$210.03	$338.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $52.33 / $181.84	Professional		$37.19	$52.33	$181.84