Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $251.91 / $622.08	Facility		$52.64	$251.91	$622.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $48.18 / $193.00	Professional		$28.07	$48.18	$193.00
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 $17.32 / $35.09 / $150.88	Professional		$17.32	$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 $96.42 / $112.67 / $172.85	Facility		$96.42	$112.67	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $94.49 / $107.38	Professional		$40.06	$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 $38.60 / $103.38 / $295.00	Facility		$38.60	$103.38	$295.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $30.75 / $295.16	Professional		$20.98	$30.75	$295.16
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 $70.18 / $206.00 / $206.00	Facility		$70.18	$206.00	$206.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $186.71 / $325.62	Professional		$45.18	$186.71	$325.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $139.05	Professional		$74.73	$74.73	$139.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $139.05 / $191.59	Professional		$139.05	$139.05	$191.59
United Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $28.07 / $86.89	Professional		$17.55	$28.07	$86.89