Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $159.32 / $187.66	Facility		$81.16	$159.32	$187.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $81.98 / $5,512.65	Professional		$78.80	$81.98	$5,512.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $145.78 / $175.72	Facility		$98.50	$145.78	$175.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $100.07	Professional		$78.80	$78.80	$100.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $107.88 / $126.08	Facility		$107.88	$107.88	$126.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $100.36 / $228.66	Facility		$78.79	$100.36	$228.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $122.43 / $139.13	Professional		$82.54	$122.43	$139.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $78.80 / $81.70	Facility		$39.74	$78.80	$81.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $157.60 / $157.60	Professional		$19.50	$157.60	$157.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $81.70 / $174.30	Facility		$39.74	$81.70	$174.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $91.50 / $157.60	Professional		$81.70	$91.50	$157.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $81.01 / $85.00	Professional		$65.00	$81.01	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $78.80 / $81.70	Facility		$39.74	$78.80	$81.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $157.60 / $157.60	Professional		$19.50	$157.60	$157.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.80 / $272.31	Professional		$78.79	$78.80	$272.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $405.05 / $405.05 / $405.05	Facility		$405.05	$405.05	$405.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Professional		$81.70	$81.70	$81.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $110.64 / $110.64	Professional		$53.89	$110.64	$110.64
United Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $78.75 / $78.75	Facility		$78.75	$78.75	$78.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $88.26 / $110.32	Professional		$78.80	$88.26	$110.32