Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $44.06 / $178.25	Facility		$38.32	$44.06	$178.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $33.47 / $113.79	Professional		$14.40	$33.47	$113.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $39.27 / $137.53	Professional		$33.36	$39.27	$137.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $91.80 / $91.80	Facility		$43.32	$91.80	$91.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $43.47 / $56.51	Professional		$43.32	$43.47	$56.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $143.96 / $172.31	Facility		$65.00	$143.96	$172.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $85.75 / $139.19	Professional		$40.29	$85.75	$139.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $45.02 / $95.57	Facility		$32.57	$45.02	$95.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $53.34 / $180.90	Facility		$32.57	$53.34	$180.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $48.42 / $169.47	Professional		$36.54	$48.42	$169.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $63.30 / $134.51	Professional		$39.56	$63.30	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $44.83 / $95.57	Facility		$30.74	$44.83	$95.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $109.52 / $153.62	Professional		$61.30	$109.52	$153.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $96.46 / $214.95	Facility		$65.00	$96.46	$214.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $242.10 / $309.81	Professional		$50.67	$242.10	$309.81
Security Health Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Facility		$51.84	$51.84	$51.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $133.83 / $133.83	Professional		$46.50	$133.83	$133.83
United Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $48.42 / $132.19	Professional		$37.10	$48.42	$132.19