Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $117.98 / $175.39	Facility		$94.38	$117.98	$175.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $74.72 / $155.58	Professional		$64.48	$74.72	$155.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.10 / $204.49 / $216.29	Facility		$169.10	$204.49	$216.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $31.46 / $320.83	Professional		$31.46	$31.46	$320.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $192.22 / $199.77	Facility		$56.39	$192.22	$199.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.27 / $252.73 / $387.69	Facility		$216.27	$252.73	$387.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $199.08 / $240.68	Professional		$90.45	$199.08	$240.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $34.01 / $94.38	Facility		$34.01	$34.01	$94.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $64.48 / $373.59	Facility		$34.01	$64.48	$373.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $55.29 / $141.57	Professional		$32.57	$55.29	$141.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $65.00 / $117.98	Professional		$39.33	$65.00	$117.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $34.01 / $94.38	Facility		$34.01	$34.01	$94.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $187.43 / $262.88	Professional		$92.34	$187.43	$262.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $157.30 / $157.30 / $373.59	Facility		$157.30	$157.30	$373.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $26.46 / $38.68	Professional		$26.13	$26.46	$38.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $167.49	Professional		$40.72	$40.72	$167.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $187.66 / $429.43	Professional		$40.72	$187.66	$429.43
United Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $55.29 / $208.59	Professional		$32.64	$55.29	$208.59