Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $87.00 / $129.34	Facility		$69.59	$87.00	$129.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $55.10 / $228.00	Professional		$47.56	$55.10	$228.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $150.80 / $159.50	Facility		$124.70	$150.80	$159.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $28.64 / $239.98	Professional		$28.64	$28.64	$239.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $157.47 / $163.68	Facility		$46.55	$157.47	$163.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.50 / $186.39 / $285.92	Facility		$159.50	$186.39	$285.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $156.18 / $177.48	Professional		$66.48	$156.18	$177.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.65 / $51.65 / $69.59	Facility		$51.65	$51.65	$69.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $52.20 / $532.57	Facility		$47.56	$52.20	$532.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $58.00 / $160.66	Professional		$34.79	$58.00	$160.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $65.00 / $113.69	Professional		$29.00	$65.00	$113.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.65 / $51.65 / $69.59	Facility		$51.65	$51.65	$69.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $141.77 / $196.90	Professional		$70.88	$141.77	$196.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $116.00 / $532.57	Facility		$116.00	$116.00	$532.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $123.51 / $255.34	Professional		$123.51	$123.51	$255.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $231.22 / $255.34 / $316.68	Professional		$231.22	$255.34	$316.68
United Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $48.69 / $158.94	Professional		$33.64	$48.69	$158.94