Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $228.42 / $510.45	Facility		$51.41	$228.42	$510.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $51.41 / $168.40	Professional		$34.27	$51.41	$168.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $111.38 / $117.81	Facility		$92.11	$111.38	$117.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $42.84 / $184.21	Professional		$21.15	$42.84	$184.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $63.63 / $120.90	Facility		$42.84	$63.63	$120.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $44.98 / $55.22	Professional		$42.84	$44.98	$55.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.05 / $137.94 / $211.61	Facility		$118.05	$137.94	$211.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $115.36 / $131.09	Professional		$49.15	$115.36	$131.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.56 / $54.84 / $149.94	Facility		$38.56	$54.84	$149.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.56 / $81.40 / $380.47	Facility		$38.56	$81.40	$380.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $37.52 / $506.52	Professional		$25.62	$37.52	$506.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $65.00 / $85.00	Professional		$42.84	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.56 / $54.84 / $149.94	Facility		$38.56	$54.84	$149.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $111.42 / $181.23	Professional		$85.80	$111.42	$181.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $380.47 / $380.47	Facility		$91.93	$380.47	$380.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $227.89 / $506.52	Professional		$55.14	$227.89	$506.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $91.23 / $146.16	Professional		$91.23	$91.23	$146.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $170.77 / $233.91	Professional		$146.16	$170.77	$233.91
United Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $35.26 / $125.69	Professional		$25.14	$35.26	$125.69