Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $50.79 / $75.51	Facility		$40.63	$50.79	$75.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $32.17 / $97.58	Professional		$27.77	$32.17	$97.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $88.04 / $93.12	Facility		$72.80	$88.04	$93.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $138.12	Professional		$13.54	$13.54	$138.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $82.75 / $86.00	Facility		$20.42	$82.75	$86.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.82 / $108.46 / $166.38	Facility		$92.82	$108.46	$166.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $91.18 / $103.61	Professional		$39.24	$91.18	$103.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $23.88 / $40.63	Facility		$22.11	$23.88	$40.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $27.77 / $160.84	Facility		$22.11	$27.77	$160.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $33.86 / $72.83	Professional		$19.64	$33.86	$72.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $55.00 / $87.60	Professional		$16.93	$55.00	$87.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $23.88 / $40.63	Facility		$22.11	$23.88	$40.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $81.30 / $113.59	Professional		$39.90	$81.30	$113.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $67.72 / $160.84	Facility		$67.72	$67.72	$160.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $22.87 / $22.87	Professional		$16.32	$22.87	$22.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $25.54 / $72.11	Professional		$25.54	$25.54	$72.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $98.96 / $184.88	Professional		$25.54	$98.96	$184.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $27.09 / $72.83	Professional		$18.12	$27.09	$72.83