Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $133.66 / $238.08	Facility		$53.70	$133.66	$238.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $20.99 / $28.90	Professional		$16.86	$20.99	$28.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.77 / $62.61 / $66.22	Facility		$51.77	$62.61	$66.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $103.15	Professional		$11.89	$11.89	$103.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $65.37 / $67.95	Facility		$17.95	$65.37	$67.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $24.08 / $24.08	Professional		$24.08	$24.08	$24.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $64.84 / $73.69	Professional		$27.67	$64.84	$73.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $28.90	Facility		$20.47	$20.47	$28.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $100.32 / $188.05	Facility		$20.47	$100.32	$188.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $24.08 / $60.46	Professional		$14.33	$24.08	$60.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $47.22 / $85.00	Professional		$12.04	$47.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $28.90	Facility		$20.47	$20.47	$28.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $58.61 / $81.40	Professional		$29.43	$58.61	$81.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $51.70 / $114.38	Facility		$48.16	$51.70	$114.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $15.84	Professional		$12.76	$12.76	$15.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $24.77 / $51.28	Professional		$24.77	$24.77	$51.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $95.99 / $131.47	Professional		$24.77	$95.99	$131.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $20.47 / $65.98	Professional		$13.97	$20.47	$65.98