Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $38.22 / $56.82	Facility		$30.58	$38.22	$56.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.76 / $163.84	Professional		$18.84	$22.76	$163.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.78 / $66.25 / $70.06	Facility		$54.78	$66.25	$70.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $105.42	Professional		$12.58	$12.58	$105.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $69.19 / $71.91	Facility		$17.38	$69.19	$71.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $126.00	Facility		$70.29	$82.14	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $68.62 / $77.98	Professional		$29.32	$68.62	$77.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $22.69 / $30.58	Facility		$22.69	$22.69	$30.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $22.93 / $121.47	Facility		$20.89	$22.93	$121.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $25.48 / $70.58	Professional		$15.29	$25.48	$70.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $49.94 / $85.00	Professional		$12.74	$49.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $22.69 / $30.58	Facility		$22.69	$22.69	$30.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $62.57 / $109.82	Professional		$31.14	$62.57	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $50.96 / $121.47	Facility		$50.96	$50.96	$121.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.82 / $24.83	Professional		$13.50	$16.82	$24.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $42.02 / $54.26	Professional		$42.02	$42.02	$54.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $74.05 / $139.12	Professional		$42.02	$74.05	$139.12
United Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $20.38 / $57.21	Professional		$14.95	$20.38	$57.21