Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $127.46 / $208.05	Facility		$53.94	$127.46	$208.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $42.11 / $160.79	Professional		$25.94	$42.11	$160.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $91.23 / $96.50	Facility		$75.44	$91.23	$96.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $35.09 / $150.88	Professional		$26.00	$35.09	$150.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $52.12 / $99.03	Facility		$35.09	$52.12	$99.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $36.84 / $45.17	Professional		$35.09	$36.84	$45.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $112.67 / $172.85	Facility		$96.42	$112.67	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $94.49 / $107.38	Professional		$40.06	$94.49	$107.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $44.92 / $122.82	Facility		$31.58	$44.92	$122.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.34 / $113.14 / $193.18	Facility		$45.34	$113.14	$193.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $49.39 / $196.46	Professional		$28.07	$49.39	$196.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $65.00 / $85.00	Professional		$35.09	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $44.92 / $122.82	Facility		$31.58	$44.92	$122.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.16 / $149.22	Professional		$70.20	$91.16	$149.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.28 / $167.46 / $167.46	Facility		$75.28	$167.46	$167.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $186.71 / $289.44	Professional		$45.18	$186.71	$289.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $74.73	Professional		$36.11	$36.11	$74.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $139.91 / $191.59	Professional		$36.11	$139.91	$191.59
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $35.09 / $88.45	Professional		$21.05	$35.09	$88.45