Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $42.75 / $63.56	Facility		$34.20	$42.75	$63.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $27.08 / $103.39	Professional		$23.37	$27.08	$103.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $74.09 / $78.38	Facility		$61.28	$74.09	$78.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $117.91	Professional		$12.99	$12.99	$117.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $71.41 / $74.22	Facility		$15.99	$71.41	$74.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $91.61 / $140.54	Facility		$78.40	$91.61	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $76.75 / $87.21	Professional		$32.63	$76.75	$87.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $23.42 / $34.20	Facility		$23.42	$23.42	$34.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $25.31 / $182.00	Facility		$23.37	$25.31	$182.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $28.50 / $77.18	Professional		$17.10	$28.50	$77.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $51.56 / $85.00	Professional		$14.25	$51.56	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $23.42 / $34.20	Facility		$23.42	$23.42	$34.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $69.70 / $373.36	Professional		$33.44	$69.70	$373.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $182.00	Facility		$57.00	$57.00	$182.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $17.30 / $25.61	Professional		$15.11	$17.30	$25.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $27.06 / $60.69	Professional		$27.06	$27.06	$60.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $27.06 / $155.61	Professional		$27.06	$27.06	$155.61
United Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $22.21 / $65.12	Professional		$15.78	$22.21	$65.12