Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $41.03 / $76.23	Facility		$41.03	$41.03	$76.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $32.14 / $41.03	Professional		$28.04	$32.14	$41.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.51 / $88.89 / $94.02	Facility		$73.51	$88.89	$94.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $136.76	Professional		$6.39	$6.39	$136.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $52.17 / $85.68	Facility		$23.52	$52.17	$85.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $168.00	Facility		$93.72	$109.52	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $92.07 / $104.63	Professional		$39.24	$92.07	$104.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $30.77 / $62.57	Facility		$12.51	$30.77	$62.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $34.19 / $162.40	Facility		$12.51	$34.19	$162.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $34.19 / $73.63	Professional		$19.82	$34.19	$73.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $65.00 / $85.00	Professional		$17.10	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $30.77 / $62.57	Facility		$12.51	$30.77	$62.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $81.62 / $116.60	Professional		$39.68	$81.62	$116.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $68.38 / $162.40	Facility		$68.38	$68.38	$162.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $72.81 / $72.81	Professional		$72.81	$72.81	$72.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $186.68 / $186.68	Professional		$179.50	$186.68	$186.68
United Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $27.35 / $34.19	Facility		$17.10	$27.35	$34.19
United Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $34.19 / $94.71	Professional		$18.93	$34.19	$94.71