Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $62.52 / $92.95	Facility		$50.02	$62.52	$92.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $50.02 / $131.00	Professional		$32.09	$50.02	$131.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.61 / $108.37 / $114.62	Facility		$89.61	$108.37	$114.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $41.68 / $178.53	Professional		$17.32	$41.68	$178.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $61.90 / $105.87	Facility		$41.68	$61.90	$105.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $43.76 / $53.96	Professional		$41.68	$43.76	$53.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $133.72 / $205.15	Facility		$114.44	$133.72	$205.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $112.23 / $127.54	Professional		$47.61	$112.23	$127.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $53.27 / $145.88	Facility		$37.51	$53.27	$145.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $56.27 / $367.20	Facility		$37.51	$56.27	$367.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $30.75 / $325.62	Professional		$21.53	$30.75	$325.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $65.00 / $85.00	Professional		$41.68	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $53.27 / $145.88	Facility		$37.51	$53.27	$145.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $108.89 / $149.22	Professional		$83.85	$108.89	$149.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.36 / $197.98 / $197.98	Facility		$83.36	$197.98	$197.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $208.40 / $325.62	Professional		$45.18	$208.40	$325.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $282.22	Professional		$88.76	$88.76	$282.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $282.22 / $282.22	Professional		$139.91	$282.22	$282.22
United Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $29.63 / $86.89	Professional		$18.76	$29.63	$86.89