Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $185.90 / $358.72	Facility		$55.91	$185.90	$358.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $40.99 / $205.20	Professional		$31.59	$40.99	$205.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.13 / $96.90 / $102.49	Facility		$80.13	$96.90	$102.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $37.27 / $159.63	Professional		$17.32	$37.27	$159.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $55.36 / $99.03	Facility		$37.27	$55.36	$99.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $39.13 / $48.11	Professional		$37.27	$39.13	$48.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.73 / $120.05 / $184.15	Facility		$102.73	$120.05	$184.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $100.36 / $114.05	Professional		$42.95	$100.36	$114.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $44.72 / $130.44	Facility		$28.70	$44.72	$130.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $130.44 / $386.41	Facility		$41.00	$130.44	$386.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $29.83 / $177.30	Professional		$21.11	$29.83	$177.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $68.80 / $102.87	Professional		$37.27	$68.80	$102.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $44.72 / $130.44	Facility		$28.70	$44.72	$130.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $97.07 / $126.50	Professional		$74.75	$97.07	$126.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $177.03 / $177.03	Facility		$75.31	$177.03	$177.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $186.35 / $194.24	Professional		$50.49	$186.35	$194.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $79.37	Professional		$66.95	$66.95	$79.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $203.49	Professional		$66.95	$66.95	$203.49
United Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $29.63 / $89.07	Professional		$18.64	$29.63	$89.07