Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $97.38 / $443.70	Facility		$52.40	$97.38	$443.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $46.85 / $97.38	Professional		$33.63	$46.85	$97.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $113.54 / $120.09	Facility		$93.89	$113.54	$120.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $43.67 / $187.04	Professional		$19.80	$43.67	$187.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $108.93 / $113.21	Facility		$108.93	$108.93	$113.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.85 / $140.05 / $214.84	Facility		$119.85	$140.05	$214.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $117.59 / $133.63	Professional		$50.39	$117.59	$133.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $52.40 / $152.85	Facility		$33.63	$52.40	$152.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $58.95 / $207.43	Facility		$39.29	$58.95	$207.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $34.94 / $329.81	Professional		$24.60	$34.94	$329.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $65.00 / $85.00	Professional		$27.99	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $52.40 / $152.85	Facility		$33.63	$52.40	$152.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $106.49 / $148.50	Professional		$69.56	$106.49	$148.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $207.43 / $207.43	Facility		$87.34	$207.43	$207.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $218.35 / $329.81	Professional		$63.32	$218.35	$329.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $93.00	Professional		$66.95	$66.95	$93.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $238.44	Professional		$66.95	$66.95	$238.44
United Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $43.67 / $43.67	Facility		$43.67	$43.67	$43.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $33.61 / $99.28	Professional		$23.53	$33.61	$99.28