Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $87.93 / $130.72	Facility		$70.34	$87.93	$130.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $70.34 / $168.40	Professional		$45.14	$70.34	$168.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $152.41 / $161.21	Facility		$126.03	$152.41	$161.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $58.62 / $251.07	Professional		$23.45	$58.62	$251.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $148.88	Facility		$143.26	$143.26	$148.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.30 / $188.49 / $289.14	Facility		$161.30	$188.49	$289.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $157.85 / $179.38	Professional		$63.49	$157.85	$179.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $70.34 / $205.17	Facility		$45.14	$70.34	$205.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $70.34 / $205.17	Facility		$52.76	$70.34	$205.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $37.53 / $361.80	Professional		$31.27	$37.53	$361.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $70.34 / $205.17	Facility		$45.14	$70.34	$205.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $152.78 / $195.81	Professional		$117.65	$152.78	$195.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $278.45 / $278.45	Facility		$117.24	$278.45	$278.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $293.10 / $361.80	Professional		$55.14	$293.10	$361.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $44.07 / $124.83	Professional		$44.07	$44.07	$124.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $145.15 / $320.07	Professional		$44.07	$145.15	$320.07
United Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $70.34 / $70.34	Facility		$70.34	$70.34	$70.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $37.52 / $109.12	Professional		$25.48	$37.52	$109.12