Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $347.70 / $490.19	Facility		$84.24	$347.70	$490.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $65.98 / $178.89	Professional		$61.18	$65.98	$178.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.93 / $182.52 / $193.05	Facility		$150.93	$182.52	$193.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $70.20 / $301.86	Professional		$34.65	$70.20	$301.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $104.27 / $198.09	Facility		$70.20	$104.27	$198.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $73.70 / $90.77	Professional		$70.20	$73.70	$90.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.84 / $225.35 / $345.69	Facility		$192.84	$225.35	$345.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $189.04 / $214.81	Professional		$80.54	$189.04	$214.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $84.24 / $245.70	Facility		$54.05	$84.24	$245.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $153.33 / $357.80	Facility		$70.20	$153.33	$357.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $59.65 / $475.20	Professional		$41.19	$59.65	$475.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $70.00 / $137.61	Professional		$48.99	$70.00	$137.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $84.24 / $245.70	Facility		$54.05	$84.24	$245.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $171.17 / $238.70	Professional		$122.72	$171.17	$238.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $334.95 / $334.95	Facility		$150.66	$334.95	$334.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $373.39 / $577.21	Professional		$90.35	$373.39	$577.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $149.49	Professional		$79.56	$79.56	$149.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $383.29	Professional		$79.56	$79.56	$383.29
United Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $56.16 / $194.45	Professional		$35.10	$56.16	$194.45