Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $67.34 / $100.11	Facility		$53.87	$67.34	$100.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $42.65 / $68.23	Professional		$34.57	$42.65	$68.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.51 / $116.71 / $123.45	Facility		$96.51	$116.71	$123.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $44.89 / $192.26	Professional		$17.96	$44.89	$192.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.02 / $118.85 / $118.85	Facility		$114.02	$118.85	$118.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.45 / $144.27 / $221.31	Facility		$123.45	$144.27	$221.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $120.88 / $137.36	Professional		$51.63	$120.88	$137.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $53.87 / $157.12	Facility		$34.57	$53.87	$157.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $53.87 / $157.12	Facility		$40.40	$53.87	$157.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $26.93 / $138.43	Professional		$22.45	$26.93	$138.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $65.00 / $85.00	Professional		$44.89	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $53.87 / $157.12	Facility		$34.57	$53.87	$157.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $109.64 / $150.37	Professional		$85.56	$109.64	$150.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $213.23 / $213.23	Facility		$89.78	$213.23	$213.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $224.45 / $224.45	Professional		$65.09	$224.45	$224.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $95.60 / $95.60	Professional		$95.60	$95.60	$95.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $245.10 / $245.10	Professional		$130.46	$245.10	$245.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $26.93 / $94.27	Professional		$22.45	$26.93	$94.27