Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $102.90 / $152.97	Facility		$82.32	$102.90	$152.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $82.32 / $269.70	Professional		$52.82	$82.32	$269.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.49 / $178.36 / $188.65	Facility		$147.49	$178.36	$188.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $68.59 / $294.98	Professional		$38.86	$68.59	$294.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.80 / $201.80 / $212.65	Facility		$201.80	$201.80	$212.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.24 / $221.14 / $339.23	Facility		$189.24	$221.14	$339.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $200.89 / $228.29	Professional		$78.88	$200.89	$228.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $82.32 / $240.10	Facility		$52.82	$82.32	$240.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $82.32 / $240.10	Facility		$52.82	$82.32	$240.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $94.67 / $777.00	Professional		$54.88	$94.67	$777.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $141.44	Professional		$50.00	$70.00	$141.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $82.32 / $240.10	Facility		$52.82	$82.32	$240.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $167.23 / $233.20	Professional		$109.82	$167.23	$233.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $327.87 / $327.87	Facility		$137.19	$327.87	$327.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $364.91 / $777.00	Professional		$88.36	$364.91	$777.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $146.09 / $205.64	Professional		$146.09	$146.09	$205.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $205.64 / $273.47 / $374.56	Professional		$205.64	$273.47	$374.56
United Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Facility		$68.59	$68.59	$68.59
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $68.59 / $222.95	Professional		$41.16	$68.59	$222.95