Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $65.29 / $492.80	Facility		$35.14	$65.29	$492.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $26.49 / $35.14	Professional		$25.51	$26.49	$35.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $76.13 / $80.52	Facility		$62.95	$76.13	$80.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $121.15	Professional		$14.46	$14.46	$121.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $79.50 / $82.63	Facility		$19.53	$79.50	$82.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $93.72 / $143.77	Facility		$80.20	$93.72	$143.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $78.84 / $89.60	Professional		$33.86	$78.84	$89.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $35.14	Facility		$26.07	$26.07	$35.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $28.17 / $140.34	Facility		$26.07	$28.17	$140.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $29.28 / $81.11	Professional		$17.57	$29.28	$81.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $57.38 / $85.00	Professional		$24.96	$57.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $35.14	Facility		$26.07	$26.07	$35.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $72.06 / $252.56	Professional		$35.78	$72.06	$252.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $58.56 / $140.34	Facility		$58.56	$58.56	$140.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $19.27 / $28.75	Professional		$15.52	$19.27	$28.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $62.35 / $75.93	Professional		$62.35	$62.35	$75.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $85.09 / $159.87	Professional		$75.93	$85.09	$159.87
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $29.28 / $85.89	Professional		$17.57	$29.28	$85.89