Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $62.64 / $93.12	Facility		$50.11	$62.64	$93.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $39.25 / $86.46	Professional		$22.13	$39.25	$86.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $108.58 / $114.84	Facility		$89.78	$108.58	$114.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $41.76 / $179.57	Professional		$20.62	$41.76	$179.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $62.02 / $117.86	Facility		$41.76	$62.02	$117.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $43.85 / $53.96	Professional		$41.76	$43.85	$53.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.34 / $134.79 / $206.77	Facility		$115.34	$134.79	$206.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $112.45 / $127.79	Professional		$47.91	$112.45	$127.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $53.45 / $146.16	Facility		$37.58	$53.45	$146.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $53.45 / $146.16	Facility		$37.58	$53.45	$146.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $35.25 / $343.25	Professional		$24.97	$35.25	$343.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $65.00 / $85.00	Professional		$41.76	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $53.45 / $146.16	Facility		$37.58	$53.45	$146.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $108.89 / $176.95	Professional		$83.85	$108.89	$176.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $199.32 / $199.32	Facility		$83.52	$199.32	$199.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $222.08 / $343.25	Professional		$53.81	$222.08	$343.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $42.96 / $88.93	Professional		$42.96	$42.96	$88.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $166.47 / $228.01	Professional		$42.96	$166.47	$228.01
United Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $33.40 / $103.35	Professional		$24.22	$33.40	$103.35