Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $94.51 / $215.83	Facility		$50.86	$94.51	$215.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $50.86 / $136.85	Professional		$32.63	$50.86	$136.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.12 / $110.19 / $116.55	Facility		$91.12	$110.19	$116.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $42.38 / $181.52	Professional		$19.72	$42.38	$181.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $112.21 / $118.24	Facility		$112.21	$112.21	$118.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.24 / $135.84 / $208.38	Facility		$116.24	$135.84	$208.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $123.27 / $141.03	Professional		$48.73	$123.27	$141.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.63 / $50.86 / $148.33	Facility		$32.63	$50.86	$148.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $54.25 / $221.60	Facility		$38.14	$54.25	$221.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $49.31 / $386.73	Professional		$33.90	$49.31	$386.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $65.00 / $85.00	Professional		$42.38	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.63 / $50.86 / $148.33	Facility		$32.63	$50.86	$148.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $110.58 / $147.05	Professional		$85.15	$110.58	$147.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $84.76 / $233.72 / $233.72	Facility		$84.76	$233.72	$233.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $211.90 / $386.73	Professional		$44.84	$211.90	$386.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $35.81 / $90.25	Professional		$35.81	$35.81	$90.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $138.77 / $231.39	Professional		$35.81	$138.77	$231.39
United Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $47.42 / $130.81	Professional		$29.18	$47.42	$130.81