Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $71.39 / $106.13	Facility		$57.11	$71.39	$106.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $45.21 / $187.10	Professional		$39.02	$45.21	$187.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.32 / $123.73 / $130.87	Facility		$102.32	$123.73	$130.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $23.50 / $196.91	Professional		$23.50	$23.50	$196.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $129.22 / $134.32	Facility		$38.20	$129.22	$134.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $152.69 / $234.23	Facility		$130.66	$152.69	$234.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $128.15 / $145.63	Professional		$54.52	$128.15	$145.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $25.22 / $57.11	Facility		$25.22	$25.22	$57.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $39.02 / $227.61	Facility		$25.22	$39.02	$227.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $47.59 / $131.82	Professional		$27.93	$47.59	$131.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $55.00 / $85.00	Professional		$23.80	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $25.22 / $57.11	Facility		$25.22	$25.22	$57.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $116.42 / $171.39	Professional		$58.17	$116.42	$171.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.18 / $95.18 / $227.61	Facility		$95.18	$95.18	$227.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $31.36 / $46.52	Professional		$25.22	$31.36	$46.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $101.34	Professional		$48.96	$48.96	$101.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $189.72 / $259.83	Professional		$48.96	$189.72	$259.83
United Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $38.90 / $117.81	Professional		$23.80	$38.90	$117.81