Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $298.14 / $1,530.90	Facility		$61.43	$298.14	$1,530.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $61.43 / $422.00	Professional		$39.42	$61.43	$422.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.06 / $133.09 / $140.77	Facility		$110.06	$133.09	$140.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $51.19 / $219.25	Professional		$22.75	$51.19	$219.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $76.03 / $142.82	Facility		$51.19	$76.03	$142.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $53.75 / $66.08	Professional		$51.19	$53.75	$66.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.57 / $164.27 / $252.00	Facility		$140.57	$164.27	$252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $149.10 / $170.35	Professional		$58.65	$149.10	$170.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $61.43 / $179.17	Facility		$39.42	$61.43	$179.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $89.58 / $295.63	Facility		$51.19	$89.58	$295.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $58.64 / $386.73	Professional		$40.95	$58.64	$386.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $141.28	Professional		$50.00	$70.00	$141.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $61.43 / $179.17	Facility		$39.42	$61.43	$179.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $133.37 / $173.80	Professional		$102.70	$133.37	$173.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.38 / $279.00 / $279.00	Facility		$102.38	$279.00	$279.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $255.95 / $386.73	Professional		$51.82	$255.95	$386.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $72.23 / $109.01	Professional		$72.23	$72.23	$109.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $160.10 / $279.50	Professional		$72.23	$160.10	$279.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $51.19 / $163.63	Professional		$33.27	$51.19	$163.63