Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $67.20 / $136.29	Facility		$38.76	$67.20	$136.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $27.96 / $38.76	Professional		$26.49	$27.96	$38.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $83.98 / $88.83	Facility		$69.45	$83.98	$88.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $15.95 / $133.63	Professional		$15.95	$15.95	$133.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $87.71 / $91.16	Facility		$22.04	$87.71	$91.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $104.25 / $159.91	Facility		$89.21	$104.25	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $86.98 / $98.84	Professional		$37.17	$86.98	$98.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $28.77 / $38.76	Facility		$28.77	$28.77	$38.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $29.07 / $275.00	Facility		$26.49	$29.07	$275.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $32.29 / $94.77	Professional		$19.38	$32.29	$94.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $55.00 / $85.00	Professional		$16.14	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $28.77 / $38.76	Facility		$28.77	$28.77	$38.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $79.20 / $175.71	Professional		$39.47	$79.20	$175.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $64.59 / $275.00	Facility		$64.59	$64.59	$275.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $21.23 / $31.62	Professional		$17.12	$21.23	$31.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $33.22 / $68.78	Professional		$33.22	$33.22	$68.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $135.52 / $176.36	Professional		$33.22	$135.52	$176.36
United Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $27.27 / $88.52	Professional		$18.73	$27.27	$88.52