Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $76.78 / $208.56	Facility		$41.32	$76.78	$208.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $41.32 / $135.38	Professional		$26.51	$41.32	$135.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $89.52 / $94.68	Facility		$74.02	$89.52	$94.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $34.43 / $148.05	Professional		$19.51	$34.43	$148.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $101.30 / $106.75	Facility		$101.30	$101.30	$106.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.62 / $110.57 / $169.61	Facility		$94.62	$110.57	$169.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $100.83 / $114.58	Professional		$39.24	$100.83	$114.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $44.07 / $120.51	Facility		$30.99	$44.07	$120.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $44.07 / $120.51	Facility		$30.99	$44.07	$120.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.34 / $777.00	Professional		$27.54	$47.34	$777.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $65.00 / $85.00	Professional		$34.43	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $44.07 / $120.51	Facility		$30.99	$44.07	$120.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $89.47 / $230.61	Professional		$68.90	$89.47	$230.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.12 / $375.00 / $375.00	Facility		$82.12	$375.00	$375.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $183.18 / $777.00	Professional		$44.18	$183.18	$777.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $104.13	Professional		$73.31	$73.31	$104.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $104.13 / $187.99	Professional		$104.13	$104.13	$187.99
United Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $41.32 / $41.32	Facility		$41.32	$41.32	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.99 / $111.90	Professional		$25.70	$34.99	$111.90