Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $70.62 / $449.74	Professional		$45.30	$70.62	$449.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $200.75 / $428.79	Professional		$33.49	$200.75	$428.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $56.38 / $84.20	Facility		$56.38	$56.38	$84.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $56.38 / $84.47	Professional		$55.64	$56.38	$84.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $213.00 / $302.33	Facility		$187.44	$213.00	$302.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $82.00 / $186.12	Professional		$30.23	$82.00	$186.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $71.20 / $250.35	Facility		$54.52	$71.20	$250.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $76.11 / $261.95	Facility		$54.52	$76.11	$261.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $135.94 / $951.12	Professional		$50.82	$135.94	$951.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $70.00 / $210.83	Professional		$28.19	$70.00	$210.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $71.20 / $250.35	Facility		$54.52	$71.20	$250.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $141.97 / $201.91	Professional		$108.00	$141.97	$201.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.05 / $139.05 / $332.76	Facility		$139.05	$139.05	$332.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $404.90 / $951.12	Professional		$32.35	$404.90	$951.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $202.65 / $202.65 / $312.20	Professional		$202.65	$202.65	$312.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $95.00 / $247.45	Professional		$50.82	$95.00	$247.45