Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $64.84 / $318.33	Facility		$34.90	$64.84	$318.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $27.63 / $98.53	Professional		$23.85	$27.63	$98.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $75.61 / $79.97	Facility		$62.52	$75.61	$79.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $118.63	Professional		$12.37	$12.37	$118.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $71.06 / $73.86	Facility		$19.64	$71.06	$73.86
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 $33.45 / $78.31 / $88.99	Professional		$33.45	$78.31	$88.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $23.26 / $34.90	Facility		$22.32	$23.26	$34.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $24.11 / $138.13	Facility		$22.32	$24.11	$138.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $27.50 / $73.52	Professional		$16.87	$27.50	$73.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $49.12 / $85.00	Professional		$14.54	$49.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $23.26 / $34.90	Facility		$22.32	$23.26	$34.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $71.28 / $262.20	Professional		$34.20	$71.28	$262.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $58.16 / $138.13	Facility		$58.16	$58.16	$138.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $16.48 / $24.57	Professional		$15.41	$16.48	$24.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $25.78 / $61.93	Professional		$25.78	$25.78	$61.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $84.51 / $158.78	Professional		$25.78	$84.51	$158.78
United Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $21.01 / $62.03	Professional		$14.54	$21.01	$62.03