Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $87.00 / $129.34	Facility		$69.59	$87.00	$129.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $54.52 / $78.84	Professional		$23.42	$54.52	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $150.80 / $159.50	Facility		$124.70	$150.80	$159.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $28.52 / $232.00	Professional		$23.20	$28.52	$232.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.75 / $141.75 / $147.32	Facility		$141.75	$141.75	$147.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.50 / $186.39 / $285.92	Facility		$159.50	$186.39	$285.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $146.36 / $177.48	Professional		$52.94	$146.36	$177.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $69.59 / $203.00	Facility		$44.66	$69.59	$203.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $69.59 / $203.00	Facility		$44.66	$69.59	$203.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $34.79 / $290.00	Professional		$16.39	$34.79	$290.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $65.00 / $85.00	Professional		$29.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $69.59 / $203.00	Facility		$44.66	$69.59	$203.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $141.19 / $193.64	Professional		$85.27	$141.19	$193.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $275.50 / $275.50	Facility		$116.00	$275.50	$275.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $290.00 / $290.00	Professional		$27.28	$290.00	$290.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $123.51	Professional		$20.63	$20.63	$123.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $67.95 / $316.68	Professional		$20.63	$67.95	$316.68
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $34.79 / $89.90	Professional		$16.54	$34.79	$89.90