Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $60.26 / $89.58	Facility		$48.20	$60.26	$89.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $38.15 / $48.20	Professional		$32.94	$38.15	$48.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $104.44 / $110.47	Facility		$86.37	$104.44	$110.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $160.68	Professional		$16.07	$16.07	$160.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $98.17 / $102.03	Facility		$24.17	$98.17	$102.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $129.52 / $198.69	Facility		$110.84	$129.52	$198.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $57.82 / $122.93	Professional		$46.26	$57.82	$122.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.97 / $48.20	Facility		$9.23	$9.97	$48.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $32.94 / $190.81	Facility		$9.23	$32.94	$190.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $24.10 / $72.31	Professional		$8.55	$24.10	$72.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $55.00 / $110.87	Professional		$20.09	$55.00	$110.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.97 / $48.20	Facility		$9.23	$9.97	$48.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $95.64 / $134.13	Professional		$43.91	$95.64	$134.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $80.34 / $190.81	Facility		$80.34	$80.34	$190.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.94 / $10.19	Professional		$6.86	$6.94	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.67 / $85.54	Professional		$10.67	$10.67	$85.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.67 / $219.33	Professional		$10.67	$10.67	$219.33
United Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $32.14 / $40.17	Facility		$7.82	$32.14	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $24.10 / $74.77	Professional		$8.75	$24.10	$74.77