Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $50.03 / $233.98	Facility		$50.03	$50.03	$233.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $50.03 / $73.37	Professional		$21.95	$50.03	$73.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $51.26 / $167.62	Professional		$31.95	$51.26	$167.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $82.29 / $82.29	Facility		$56.53	$82.29	$82.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $56.84 / $73.89	Professional		$56.53	$56.84	$73.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $189.00 / $226.16	Facility		$65.00	$189.00	$226.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $90.08 / $181.45	Professional		$39.03	$90.08	$181.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $58.35 / $125.08	Facility		$39.53	$58.35	$125.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $58.54 / $283.08	Facility		$39.53	$58.54	$283.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $50.78 / $411.85	Professional		$28.22	$50.78	$411.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $33.09 / $70.31	Professional		$19.71	$33.09	$70.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $58.35 / $125.08	Facility		$37.52	$58.35	$125.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $142.74 / $202.30	Professional		$69.19	$142.74	$202.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $126.62 / $283.08	Facility		$65.00	$126.62	$283.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $270.23 / $411.85	Professional		$66.05	$270.23	$411.85
Security Health Facility/Professional Facility Modifier Low / Median / High Price $92.78 / $92.78 / $92.78	Facility		$92.78	$92.78	$92.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $174.47 / $174.47	Professional		$71.69	$174.47	$174.47
United Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $50.78 / $101.56	Professional		$28.71	$50.78	$101.56