Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.36 / $229.44 / $495.11	Facility		$87.36	$229.44	$495.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $35.18 / $160.32	Professional		$27.02	$35.18	$160.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $91.23 / $96.50	Facility		$75.44	$91.23	$96.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $35.09 / $150.88	Professional		$19.88	$35.09	$150.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $52.12 / $99.03	Facility		$35.09	$52.12	$99.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $36.84 / $45.17	Professional		$35.09	$36.84	$45.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $212.71 / $326.31	Facility		$182.03	$212.71	$326.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $94.49 / $107.38	Professional		$45.18	$94.49	$107.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $44.92 / $122.82	Facility		$31.58	$44.92	$122.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $132.75 / $308.45	Facility		$42.11	$132.75	$308.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $42.11 / $266.02	Professional		$21.05	$42.11	$266.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $65.00 / $85.00	Professional		$35.09	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $44.92 / $122.82	Facility		$31.58	$44.92	$122.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.16 / $149.22	Professional		$70.20	$91.16	$149.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.39 / $167.46 / $167.46	Facility		$82.39	$167.46	$167.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $186.71 / $289.44	Professional		$45.18	$186.71	$289.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $30.39 / $74.73	Professional		$30.39	$30.39	$74.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $101.98 / $191.59	Professional		$30.39	$101.98	$191.59
United Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $28.07 / $102.98	Professional		$18.43	$28.07	$102.98