Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $83.61 / $124.30	Facility		$66.89	$83.61	$124.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $66.89 / $164.14	Professional		$42.92	$66.89	$164.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.84 / $144.91 / $153.29	Facility		$119.84	$144.91	$153.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $55.74 / $238.74	Professional		$22.30	$55.74	$238.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $82.79 / $141.58	Facility		$55.74	$82.79	$141.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $58.53 / $71.94	Professional		$55.74	$58.53	$71.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $179.02 / $274.61	Facility		$153.19	$179.02	$274.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $150.10 / $170.56	Professional		$60.19	$150.10	$170.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $66.89 / $195.09	Facility		$50.17	$66.89	$195.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $66.89 / $195.09	Facility		$50.17	$66.89	$195.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $36.57 / $343.25	Professional		$30.00	$36.57	$343.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $105.91	Professional		$50.00	$65.00	$105.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $66.89 / $195.09	Facility		$50.17	$66.89	$195.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $145.19 / $186.07	Professional		$111.80	$145.19	$186.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $111.48 / $264.77 / $264.77	Facility		$111.48	$264.77	$264.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $278.70 / $343.25	Professional		$53.81	$278.70	$343.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $42.96 / $118.70	Professional		$42.96	$42.96	$118.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $166.47 / $304.33	Professional		$42.96	$166.47	$304.33
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $35.00 / $122.49	Professional		$24.50	$35.00	$122.49