Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $268.16	Facility		$66.51	$66.51	$268.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $66.51 / $111.44	Professional		$55.23	$66.51	$111.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.84 / $145.02 / $239.95	Facility		$131.84	$145.02	$239.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $122.61 / $183.91	Professional		$122.61	$122.61	$183.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.85 / $282.14 / $282.14	Facility		$94.85	$282.14	$282.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $291.56 / $550.03	Facility		$104.66	$291.56	$550.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $194.31 / $249.51	Professional		$88.96	$194.31	$249.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $99.77 / $151.62	Facility		$37.93	$99.77	$151.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $128.66 / $158.21	Professional		$75.48	$128.66	$158.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $131.84 / $613.91	Facility		$65.66	$131.84	$613.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $88.09 / $143.56	Professional		$59.55	$88.09	$143.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $104.74	Professional		$50.00	$65.00	$104.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $99.77 / $151.62	Facility		$37.93	$99.77	$151.62
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $128.66 / $158.21	Professional		$75.48	$128.66	$158.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $202.92 / $352.30	Professional		$131.84	$202.92	$352.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $257.50 / $613.91	Facility		$104.66	$257.50	$613.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $104.66 / $663.63	Professional		$88.96	$104.66	$663.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $131.84 / $131.84	Professional		$131.84	$131.84	$131.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $131.84 / $131.84	Professional		$105.27	$131.84	$131.84
United Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $78.34 / $116.89	Professional		$48.97	$78.34	$116.89