Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $154.80 / $211.14	Facility		$70.38	$154.80	$211.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $100.94 / $170.00	Professional		$70.38	$100.94	$170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $151.32 / $156.94	Facility		$130.19	$151.32	$156.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $70.19 / $105.19	Professional		$70.19	$70.19	$105.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.61 / $147.09 / $147.09	Facility		$112.61	$147.09	$147.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $170.84 / $244.20	Facility		$80.88	$170.84	$244.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $154.77 / $175.88	Professional		$73.84	$154.77	$175.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $70.38 / $117.86	Facility		$61.96	$70.38	$117.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $140.76 / $140.76	Professional		$140.76	$140.76	$140.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $74.15 / $228.19	Facility		$70.38	$74.15	$228.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $82.39 / $140.76	Professional		$71.09	$82.39	$140.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $84.49 / $171.73	Professional		$65.00	$84.49	$171.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $70.38 / $117.86	Facility		$61.96	$70.38	$117.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $140.76 / $140.76	Professional		$140.76	$140.76	$140.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $166.27 / $239.80	Professional		$70.38	$166.27	$239.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $300.14 / $300.14 / $300.14	Facility		$300.14	$300.14	$300.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $98.81 / $103.91	Professional		$82.12	$98.81	$103.91
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $81.62 / $115.57	Professional		$72.23	$81.62	$115.57