Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $178.00 / $13,053.11	Facility		$71.45	$178.00	$13,053.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $71.45 / $95.18	Professional		$69.37	$71.45	$95.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.33 / $149.15 / $154.69	Facility		$128.33	$149.15	$154.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $104.05	Professional		$69.37	$69.37	$104.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $102.67 / $110.99	Facility		$94.98	$102.67	$110.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $85.60 / $168.14	Facility		$69.37	$85.60	$168.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $71.44 / $94.13	Professional		$62.87	$71.44	$94.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $72.14 / $100.03	Facility		$69.37	$72.14	$100.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $77.48 / $105.25	Facility		$77.48	$77.48	$105.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $86.26 / $317.82	Professional		$77.48	$86.26	$317.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $85.00	Professional		$58.40	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $72.14 / $100.03	Facility		$69.37	$72.14	$100.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $95.85 / $245.30	Professional		$67.53	$95.85	$245.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $95.37 / $457.60	Facility		$69.37	$95.37	$457.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $132.41 / $317.82	Professional		$69.37	$132.41	$317.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $97.40 / $97.40	Professional		$97.40	$97.40	$97.40
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $72.84 / $87.26	Professional		$69.37	$72.84	$87.26