Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $43.25 / $64.29	Facility		$34.60	$43.25	$64.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $27.10 / $113.34	Professional		$23.64	$27.10	$113.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $74.95 / $79.28	Facility		$61.98	$74.95	$79.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $14.24 / $119.28	Professional		$14.24	$14.24	$119.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $78.30 / $81.38	Facility		$19.23	$78.30	$81.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $92.67 / $142.15	Facility		$79.30	$92.67	$142.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $77.64 / $88.23	Professional		$33.04	$77.64	$88.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $25.68 / $34.60	Facility		$25.68	$25.68	$34.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $25.95 / $179.00	Facility		$23.64	$25.95	$179.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $28.83 / $79.86	Professional		$17.30	$28.83	$79.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $55.00 / $85.00	Professional		$14.42	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $25.68 / $34.60	Facility		$25.68	$25.68	$34.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $70.48 / $97.90	Professional		$35.24	$70.48	$97.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $179.00	Facility		$57.66	$57.66	$179.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $18.94 / $28.23	Professional		$15.28	$18.94	$28.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $61.39 / $128.60	Professional		$61.39	$61.39	$128.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $128.60 / $157.41	Professional		$114.94	$128.60	$157.41
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $25.50 / $84.61	Professional		$16.72	$25.50	$84.61