Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $38.70 / $57.53	Facility		$30.96	$38.70	$57.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $24.51 / $101.42	Professional		$21.16	$24.51	$101.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $67.08 / $70.95	Facility		$55.47	$67.08	$70.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $106.75	Professional		$12.74	$12.74	$106.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $70.06 / $72.81	Facility		$17.60	$70.06	$72.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $83.19 / $127.61	Facility		$71.19	$83.19	$127.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $69.48 / $78.95	Professional		$29.74	$69.48	$78.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $30.96	Facility		$22.98	$22.98	$30.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $23.22 / $128.00	Facility		$21.16	$23.22	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.80 / $71.47	Professional		$15.14	$25.80	$71.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $50.57 / $85.00	Professional		$12.90	$50.57	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $30.96	Facility		$22.98	$22.98	$30.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $63.36 / $143.63	Professional		$31.54	$63.36	$143.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $51.60 / $128.00	Facility		$51.60	$51.60	$128.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $16.98 / $25.35	Professional		$13.67	$16.98	$25.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $26.54 / $54.94	Professional		$26.54	$26.54	$54.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $26.54 / $140.87	Professional		$26.54	$26.54	$140.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $21.28 / $63.88	Professional		$12.90	$21.28	$63.88