Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $35.52 / $35.52	Facility		$35.52	$35.52	$35.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $27.82 / $35.52	Professional		$22.79	$27.82	$35.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $76.95 / $81.40	Facility		$63.64	$76.95	$81.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $126.78	Professional		$14.62	$14.62	$126.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $80.38 / $80.38	Facility		$45.28	$80.38	$80.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $94.77 / $145.38	Facility		$81.09	$94.77	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $79.70 / $90.58	Professional		$35.31	$79.70	$90.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $35.52 / $103.60	Facility		$22.79	$35.52	$103.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $35.52 / $103.60	Facility		$26.64	$35.52	$103.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $19.73 / $101.43	Professional		$16.45	$19.73	$101.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $35.52 / $103.60	Facility		$22.79	$35.52	$103.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $70.95 / $99.53	Professional		$49.68	$70.95	$99.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $140.60 / $140.60	Facility		$59.20	$140.60	$140.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $148.00 / $148.00	Professional		$118.40	$148.00	$148.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $63.03 / $63.03	Professional		$63.03	$63.03	$63.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $161.62 / $161.62	Professional		$86.02	$161.62	$161.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $19.73 / $58.28	Professional		$13.81	$19.73	$58.28