Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $374.78	Facility		$42.11	$42.11	$374.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $33.52 / $48.18	Professional		$27.02	$33.52	$48.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $91.23 / $96.50	Facility		$75.44	$91.23	$96.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $35.09 / $150.88	Professional		$17.32	$35.09	$150.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $52.12 / $99.03	Facility		$35.09	$52.12	$99.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $36.84 / $45.17	Professional		$35.09	$36.84	$45.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $112.67 / $172.85	Facility		$96.42	$112.67	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $45.47 / $107.38	Professional		$18.45	$45.47	$107.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $42.11 / $122.82	Facility		$27.02	$42.11	$122.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $42.11 / $122.82	Facility		$31.58	$42.11	$122.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $28.88 / $126.32	Professional		$20.22	$28.88	$126.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $65.00 / $85.00	Professional		$35.09	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $42.11 / $122.82	Facility		$27.02	$42.11	$122.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $85.19 / $122.64	Professional		$62.77	$85.19	$122.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $166.68 / $166.68	Facility		$79.05	$166.68	$166.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $175.45 / $175.45	Professional		$18.45	$175.45	$175.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $74.73	Professional		$36.11	$36.11	$74.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $139.91 / $191.59	Professional		$36.11	$139.91	$191.59
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $28.07 / $96.16	Professional		$17.32	$28.07	$96.16