Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $43.92 / $65.29	Facility		$35.14	$43.92	$65.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $27.52 / $65.29	Professional		$22.55	$27.52	$65.29
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 $19.98 / $79.50 / $82.63	Facility		$19.98	$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 $24.01 / $26.35 / $205.30	Facility		$24.01	$26.35	$205.30
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 $14.64 / $55.00 / $85.00	Professional		$14.64	$55.00	$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 / $241.58	Professional		$35.78	$72.06	$241.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $58.56 / $205.30	Facility		$58.56	$58.56	$205.30
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 / $75.19	Professional		$62.35	$62.35	$75.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $75.19 / $159.87	Professional		$75.19	$75.19	$159.87
United Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Facility		$29.28	$29.28	$29.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.54 / $72.47	Professional		$16.98	$24.54	$72.47