Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $150.99 / $1,438.70	Facility		$54.67	$150.99	$1,438.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $54.67 / $182.00	Professional		$53.08	$54.67	$182.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $114.12 / $118.37	Facility		$98.20	$114.12	$118.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $71.65	Professional		$53.08	$53.08	$71.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.67 / $72.67 / $84.93	Facility		$72.67	$72.67	$84.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $128.84 / $184.17	Facility		$47.49	$128.84	$184.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $90.53 / $102.88	Professional		$54.08	$90.53	$102.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $53.08 / $116.90	Facility		$48.36	$53.08	$116.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $28.06 / $28.06	Professional		$28.06	$28.06	$28.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $126.18 / $159.54	Facility		$53.08	$126.18	$159.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $69.00	Professional		$53.08	$53.08	$69.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $53.08 / $65.00	Professional		$47.73	$53.08	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $53.08 / $116.90	Facility		$48.36	$53.08	$116.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $28.06 / $28.06	Professional		$28.06	$28.06	$28.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $125.07 / $180.40	Professional		$53.08	$125.07	$180.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $522.91 / $522.91 / $522.91	Facility		$522.91	$522.91	$522.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $74.52 / $104.90	Professional		$65.56	$74.52	$104.90
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $72.68	Professional		$53.08	$53.08	$72.68