Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $122.82 / $182.59	Facility		$98.26	$122.82	$182.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $77.79 / $272.07	Professional		$67.14	$77.79	$272.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.04 / $212.89 / $225.17	Facility		$176.04	$212.89	$225.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $334.02	Professional		$34.18	$34.18	$334.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.25 / $200.11 / $207.98	Facility		$64.25	$200.11	$207.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.28 / $263.26 / $403.84	Facility		$225.28	$263.26	$403.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $220.48 / $250.55	Professional		$94.16	$220.48	$250.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $40.94 / $98.26	Facility		$40.94	$40.94	$98.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $67.14 / $388.93	Facility		$40.94	$67.14	$388.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $81.88 / $199.77	Professional		$47.57	$81.88	$199.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $65.00 / $122.82	Professional		$40.53	$65.00	$122.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $40.94 / $98.26	Facility		$40.94	$40.94	$98.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $199.57 / $278.30	Professional		$96.14	$199.57	$278.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $163.76 / $163.76 / $388.93	Facility		$163.76	$163.76	$388.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $43.40 / $45.73	Professional		$43.40	$43.40	$45.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $174.37	Professional		$71.20	$71.20	$174.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $447.06	Professional		$71.20	$71.20	$447.06
United Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $81.88 / $81.88	Facility		$81.88	$81.88	$81.88
United Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $65.50 / $199.77	Professional		$44.22	$65.50	$199.77