Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $65.84 / $645.70	Facility		$35.44	$65.84	$645.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $26.37 / $35.44	Professional		$25.73	$26.37	$35.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $76.78 / $81.20	Facility		$63.49	$76.78	$81.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $122.19	Professional		$14.58	$14.58	$122.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $80.19 / $83.34	Facility		$20.14	$80.19	$83.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $94.77 / $145.38	Facility		$81.09	$94.77	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $79.52 / $90.36	Professional		$33.86	$79.52	$90.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $35.44	Facility		$26.30	$26.30	$35.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $26.58 / $198.00	Facility		$24.21	$26.58	$198.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $29.53 / $96.70	Professional		$17.72	$29.53	$96.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $55.00 / $85.00	Professional		$14.77	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $35.44	Facility		$26.30	$26.30	$35.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $72.06 / $318.45	Professional		$36.09	$72.06	$318.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $59.06 / $198.00	Facility		$59.06	$59.06	$198.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $19.43 / $29.01	Professional		$15.65	$19.43	$29.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $30.38 / $62.89	Professional		$30.38	$30.38	$62.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $133.10 / $161.22	Professional		$30.38	$133.10	$161.22
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $24.94 / $80.93	Professional		$17.13	$24.94	$80.93