Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.12 / $472.88 / $680.92	Facility		$102.12	$472.88	$680.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $79.98 / $442.00	Professional		$65.53	$79.98	$442.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.97 / $221.26 / $234.03	Facility		$182.97	$221.26	$234.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $85.10 / $365.93	Professional		$42.02	$85.10	$365.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $126.39 / $240.16	Facility		$85.10	$126.39	$240.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $89.36 / $110.00	Professional		$85.10	$89.36	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.29 / $273.79 / $420.00	Facility		$234.29	$273.79	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $229.15 / $260.39	Professional		$97.88	$229.15	$260.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $102.12 / $297.85	Facility		$65.53	$102.12	$297.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $108.93 / $405.72	Facility		$65.53	$108.93	$405.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $72.31 / $554.42	Professional		$50.89	$72.31	$554.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $166.82	Professional		$50.00	$70.00	$166.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $102.12 / $297.85	Facility		$65.53	$102.12	$297.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $207.45 / $289.30	Professional		$157.75	$207.45	$289.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $182.62 / $405.72 / $405.72	Facility		$182.62	$405.72	$405.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $452.66 / $699.71	Professional		$58.16	$452.66	$699.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $185.40	Professional		$181.22	$181.22	$185.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $185.40 / $464.65	Professional		$185.40	$185.40	$464.65
United Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $95.00 / $331.30	Professional		$51.06	$95.00	$331.30