Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $86.24 / $250.80	Facility		$32.60	$86.24	$250.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $24.27 / $25.54	Professional		$22.28	$24.27	$25.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.42 / $70.64 / $74.72	Facility		$58.42	$70.64	$74.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $112.41	Professional		$13.42	$13.42	$112.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $73.78 / $76.68	Facility		$18.54	$73.78	$76.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $27.17 / $27.17	Professional		$27.17	$27.17	$27.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $87.40 / $134.08	Facility		$74.79	$87.40	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $73.16 / $83.14	Professional		$31.39	$73.16	$83.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $24.20 / $32.60	Facility		$24.20	$24.20	$32.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $27.17 / $130.22	Facility		$22.28	$27.17	$130.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $27.17 / $88.95	Professional		$16.30	$27.17	$88.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $53.26 / $85.00	Professional		$13.59	$53.26	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $24.20 / $32.60	Facility		$24.20	$24.20	$32.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $66.53 / $184.48	Professional		$36.69	$66.53	$184.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $54.34 / $129.72	Facility		$54.34	$54.34	$129.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $17.96 / $26.66	Professional		$14.40	$17.96	$26.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $57.86 / $64.67	Professional		$57.86	$57.86	$64.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $128.82 / $148.35	Professional		$64.67	$128.82	$148.35
United Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $22.41 / $74.45	Professional		$15.76	$22.41	$74.45