Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $155.74 / $389.67	Facility		$70.23	$155.74	$389.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $87.40 / $446.25	Professional		$46.10	$87.40	$446.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $78.17 / $211.26	Professional		$43.38	$78.17	$211.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $65.81 / $76.62	Facility		$51.08	$65.81	$76.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $60.74 / $77.23	Professional		$51.08	$60.74	$77.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $170.59 / $226.73	Facility		$145.97	$170.59	$226.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $77.63 / $158.28	Professional		$48.80	$77.63	$158.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $54.71 / $114.89	Facility		$45.43	$54.71	$114.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $19.34 / $19.34	Professional		$19.34	$19.34	$19.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $54.71 / $128.03	Facility		$45.43	$54.71	$128.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $95.01 / $345.93	Professional		$44.19	$95.01	$345.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $70.00 / $134.51	Professional		$41.54	$70.00	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $54.71 / $116.75	Facility		$45.43	$54.71	$116.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $19.34 / $19.34	Professional		$19.34	$19.34	$19.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $129.36 / $180.40	Professional		$82.59	$129.36	$180.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $104.76 / $276.56	Facility		$61.58	$104.76	$276.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $273.20 / $345.93	Professional		$48.80	$273.20	$345.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $156.63 / $192.93	Professional		$81.29	$156.63	$192.93
United Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $97.51 / $204.90	Professional		$50.30	$97.51	$204.90