Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $213.62 / $635.36	Facility		$30.58	$213.62	$635.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $26.60 / $46.56	Professional		$16.03	$26.60	$46.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.67 / $57.64 / $60.97	Facility		$47.67	$57.64	$60.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $90.44	Professional		$8.92	$8.92	$90.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $54.18 / $56.31	Facility		$14.79	$54.18	$56.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.61 / $109.85	Facility		$61.28	$71.61	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $59.70 / $67.84	Professional		$25.61	$59.70	$67.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.37 / $26.60	Facility		$16.07	$17.37	$26.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $20.32 / $217.50	Facility		$16.07	$20.32	$217.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $22.17 / $52.98	Professional		$13.19	$22.17	$52.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $35.39 / $85.00	Professional		$11.09	$35.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.37 / $26.60	Facility		$16.07	$17.37	$26.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $54.65 / $76.73	Professional		$26.22	$54.65	$76.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $44.34 / $158.00	Facility		$44.34	$44.34	$158.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.92 / $17.77	Professional		$11.75	$11.92	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $47.21 / $185.40	Professional		$47.21	$47.21	$185.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $121.05 / $185.40	Professional		$78.17	$121.05	$185.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.73 / $52.98	Professional		$11.97	$17.73	$52.98