Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $59.74 / $141.43	Facility		$32.15	$59.74	$141.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $24.23 / $32.15	Professional		$17.41	$24.23	$32.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $69.65 / $73.67	Facility		$57.60	$69.65	$73.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $110.84	Professional		$13.23	$13.23	$110.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $72.75 / $75.62	Facility		$18.28	$72.75	$75.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $86.35 / $132.46	Facility		$73.89	$86.35	$132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $72.14 / $81.98	Professional		$30.98	$72.14	$81.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $32.15	Facility		$23.85	$23.85	$32.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $25.77 / $128.00	Facility		$23.85	$25.77	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $26.79 / $74.20	Professional		$15.71	$26.79	$74.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $52.50 / $85.00	Professional		$13.40	$52.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $32.15	Facility		$23.85	$23.85	$32.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $65.73 / $197.64	Professional		$32.75	$65.73	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $53.58 / $128.00	Facility		$53.58	$53.58	$128.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $17.64 / $26.14	Professional		$14.20	$17.64	$26.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $70.95	Professional		$57.05	$57.05	$70.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $127.03 / $146.27	Professional		$70.95	$127.03	$146.27
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $22.05 / $73.42	Professional		$15.00	$22.05	$73.42