Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $255.18 / $600.60	Facility		$78.08	$255.18	$600.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $105.89	Professional		$56.88	$80.09	$105.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $297.52 / $314.68	Facility		$246.02	$297.52	$314.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $466.79	Professional		$45.77	$45.77	$466.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $279.66 / $290.64	Facility		$57.24	$279.66	$290.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.49 / $367.51 / $563.77	Facility		$314.49	$367.51	$563.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $149.53 / $350.15	Professional		$60.16	$149.53	$350.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $112.98 / $146.47	Facility		$52.95	$112.98	$146.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $114.43 / $543.54	Facility		$52.95	$114.43	$543.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $91.54 / $205.97	Professional		$47.96	$91.54	$205.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $171.65	Professional		$55.00	$65.00	$171.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $112.98 / $146.47	Facility		$52.95	$112.98	$146.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $279.24 / $389.40	Professional		$127.33	$279.24	$389.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $228.86 / $228.86 / $543.54	Facility		$228.86	$228.86	$543.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.16 / $60.16	Professional		$38.36	$60.16	$60.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $88.24 / $243.68	Professional		$88.24	$88.24	$243.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $341.92 / $624.79	Professional		$88.24	$341.92	$624.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $91.54 / $205.97	Professional		$48.06	$91.54	$205.97