Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $195.40 / $1,868.32	Facility		$100.63	$195.40	$1,868.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $245.82 / $479.19	Professional		$114.54	$245.82	$479.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.18 / $211.90 / $255.42	Facility		$143.18	$211.90	$255.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $145.46	Professional		$114.54	$114.54	$145.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $156.81 / $183.26	Facility		$156.81	$156.81	$183.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $298.43 / $426.58	Facility		$114.54	$298.43	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $203.74 / $231.53	Professional		$127.69	$203.74	$231.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $97.70 / $230.00	Facility		$97.70	$97.70	$230.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $229.08 / $229.08	Professional		$120.25	$229.08	$229.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $97.70 / $230.00	Facility		$97.70	$97.70	$230.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $229.08	Professional		$97.70	$97.70	$229.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $97.70 / $125.30	Professional		$65.00	$97.70	$125.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $97.70 / $230.00	Facility		$97.70	$97.70	$230.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $229.08 / $229.08	Professional		$120.25	$229.08	$229.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.53 / $145.66 / $307.97	Professional		$114.53	$145.66	$307.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $642.04 / $642.04	Facility		$642.04	$642.04	$642.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $160.81 / $232.36	Professional		$156.09	$160.81	$232.36
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $183.26	Professional		$114.54	$114.54	$183.26