Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $39.86 / $59.27	Facility		$31.90	$39.86	$59.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $25.25 / $104.48	Professional		$21.80	$25.25	$104.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.15 / $69.11 / $73.09	Facility		$57.15	$69.11	$73.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $109.97	Professional		$13.12	$13.12	$109.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $72.17 / $75.01	Facility		$13.73	$72.17	$75.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $85.30 / $130.85	Facility		$72.98	$85.30	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $71.58 / $81.34	Professional		$30.56	$71.58	$81.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $23.67 / $31.90	Facility		$23.67	$23.67	$31.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $23.92 / $127.38	Facility		$21.80	$23.92	$127.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $26.58 / $73.63	Professional		$15.59	$26.58	$73.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $52.10 / $85.00	Professional		$13.29	$52.10	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $23.67 / $31.90	Facility		$23.67	$23.67	$31.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $64.94 / $136.16	Professional		$32.47	$64.94	$136.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $53.16 / $127.38	Facility		$53.16	$53.16	$127.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $17.47 / $25.87	Professional		$14.09	$17.47	$25.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $27.35 / $56.60	Professional		$27.35	$27.35	$56.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $92.57 / $145.13	Professional		$27.35	$92.57	$145.13
United Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $26.58 / $26.58	Facility		$26.58	$26.58	$26.58
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $21.92 / $72.84	Professional		$13.29	$21.92	$72.84