Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $44.97 / $66.86	Facility		$35.97	$44.97	$66.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $28.18 / $41.17	Professional		$2.96	$28.18	$41.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $77.95 / $82.45	Facility		$64.45	$77.95	$82.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $119.92	Professional		$11.99	$11.99	$119.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $73.27 / $76.15	Facility		$13.37	$73.27	$76.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $96.88 / $148.61	Facility		$82.90	$96.88	$148.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $43.37 / $101.68	Professional		$12.28	$43.37	$101.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.47 / $35.97	Facility		$2.29	$2.47	$35.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $24.58 / $142.41	Facility		$2.29	$24.58	$142.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $29.98 / $53.96	Professional		$3.52	$29.98	$53.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $44.97 / $85.00	Professional		$5.29	$44.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.47 / $35.97	Facility		$2.29	$2.47	$35.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $71.73 / $100.61	Professional		$24.57	$71.73	$100.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $59.96 / $142.41	Facility		$59.96	$59.96	$142.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $1.71 / $2.61	Professional		$1.63	$1.71	$2.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $63.84	Professional		$2.64	$2.64	$63.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $12.94 / $163.69	Professional		$2.64	$12.94	$163.69
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $29.98 / $53.96	Professional		$3.53	$29.98	$53.96