Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $80.20 / $119.24	Facility		$64.16	$80.20	$119.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $64.16 / $137.44	Professional		$41.17	$64.16	$137.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.96 / $139.02 / $147.04	Facility		$114.96	$139.02	$147.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $49.71 / $229.02	Professional		$21.39	$49.71	$229.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $135.81	Facility		$130.68	$130.68	$135.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $171.64 / $263.31	Facility		$146.88	$171.64	$263.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $143.97 / $163.61	Professional		$57.99	$143.97	$163.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $65.11 / $187.15	Facility		$48.12	$65.11	$187.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $65.11 / $187.15	Facility		$48.12	$65.11	$187.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $34.24 / $287.45	Professional		$24.06	$34.24	$287.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $147.58	Professional		$50.00	$70.00	$147.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $65.11 / $187.15	Facility		$48.12	$65.11	$187.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $139.28 / $178.50	Professional		$107.25	$139.28	$178.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $106.94 / $253.98 / $253.98	Facility		$106.94	$253.98	$253.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $267.35 / $287.45	Professional		$44.84	$267.35	$287.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $35.96 / $113.87	Professional		$35.96	$35.96	$113.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $35.96 / $291.95	Professional		$35.96	$35.96	$291.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $32.08 / $99.53	Professional		$22.46	$32.08	$99.53