Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $90.43 / $274.56	Facility		$48.66	$90.43	$274.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $39.25 / $72.66	Professional		$31.22	$39.25	$72.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $105.43 / $111.51	Facility		$87.18	$105.43	$111.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $40.54 / $173.69	Professional		$17.32	$40.54	$173.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $60.22 / $103.00	Facility		$40.54	$60.22	$103.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $42.58 / $52.28	Professional		$40.54	$42.58	$52.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $200.31	Facility		$111.74	$130.58	$200.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $109.20 / $124.09	Professional		$46.67	$109.20	$124.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $48.66 / $141.93	Facility		$31.22	$48.66	$141.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $54.74 / $212.40	Facility		$36.50	$54.74	$212.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $28.88 / $202.75	Professional		$20.05	$28.88	$202.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $65.00 / $85.00	Professional		$38.29	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $48.66 / $141.93	Facility		$31.22	$48.66	$141.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $98.60 / $137.50	Professional		$81.25	$98.60	$137.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $149.09 / $192.61 / $192.61	Facility		$149.09	$192.61	$192.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $202.75 / $202.75	Professional		$44.51	$202.75	$202.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $86.35	Professional		$36.11	$36.11	$86.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $117.85 / $221.40	Professional		$36.11	$117.85	$221.40
United Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $28.66 / $84.62	Professional		$17.18	$28.66	$84.62