Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $160.49	Facility		$51.31	$51.31	$160.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $51.31 / $219.77	Professional		$20.52	$51.31	$219.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $61.57 / $120.29	Facility		$51.31	$61.57	$120.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $53.88 / $66.50	Professional		$51.31	$53.88	$66.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $147.66 / $220.98	Facility		$123.27	$147.66	$220.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $138.16 / $157.01	Professional		$55.12	$138.16	$157.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $56.44 / $179.59	Facility		$51.31	$56.44	$179.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $61.57 / $179.59	Facility		$51.31	$61.57	$179.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $32.85 / $184.72	Professional		$25.66	$32.85	$184.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $141.62	Professional		$50.00	$70.00	$141.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $56.44 / $179.59	Facility		$51.31	$56.44	$179.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $122.64 / $172.01	Professional		$85.86	$122.64	$172.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.62 / $243.72 / $243.72	Facility		$102.62	$243.72	$243.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $205.24 / $255.52	Professional		$205.24	$205.24	$255.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $109.27	Professional		$51.31	$51.31	$109.27
Security Health Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $61.57 / $61.57	Facility		$61.57	$61.57	$61.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $280.14	Professional		$51.31	$51.31	$280.14
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $95.51	Professional		$21.55	$30.79	$95.51