Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.53 / $33.53 / $62.31	Facility		$33.53	$33.53	$62.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.15 / $33.53	Professional		$22.91	$25.15	$33.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $72.64 / $76.84	Facility		$60.07	$72.64	$76.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $113.98	Professional		$11.18	$11.18	$113.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $27.94 / $70.97	Facility		$20.42	$27.94	$70.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $89.51 / $137.31	Facility		$76.59	$89.51	$137.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $75.23 / $85.50	Professional		$31.80	$75.23	$85.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $33.53	Facility		$14.52	$14.52	$33.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $22.35 / $132.72	Facility		$14.52	$22.35	$132.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $27.94 / $58.67	Professional		$16.21	$27.94	$58.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $41.91 / $85.00	Professional		$13.97	$41.91	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $33.53	Facility		$14.52	$14.52	$33.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $66.33 / $94.60	Professional		$36.96	$66.33	$94.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $55.88 / $132.72	Facility		$55.88	$55.88	$132.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $14.64 / $14.64	Professional		$13.06	$14.64	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $27.94 / $59.50	Professional		$27.94	$27.94	$59.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $81.20 / $152.55	Professional		$27.94	$81.20	$152.55
United Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $22.35 / $52.01	Professional		$13.97	$22.35	$52.01