Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $41.03 / $76.23	Facility		$41.03	$41.03	$76.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $32.47 / $41.03	Professional		$28.04	$32.47	$41.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.51 / $88.89 / $94.02	Facility		$73.51	$88.89	$94.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.02 / $139.47	Professional		$14.02	$14.02	$139.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $85.68 / $89.05	Facility		$23.07	$85.68	$89.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $168.00	Facility		$93.72	$109.52	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $92.07 / $104.63	Professional		$39.24	$92.07	$104.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $41.03	Facility		$17.53	$17.53	$41.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $28.04 / $162.40	Facility		$17.53	$28.04	$162.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $34.19 / $73.63	Professional		$19.82	$34.19	$73.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $65.00 / $94.36	Professional		$17.10	$65.00	$94.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $41.03	Facility		$17.53	$17.53	$41.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $81.76 / $116.60	Professional		$40.28	$81.76	$116.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $68.38 / $162.40	Facility		$68.38	$68.38	$162.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $18.12 / $18.12	Professional		$15.84	$18.12	$18.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $35.06 / $72.81	Professional		$35.06	$35.06	$72.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $101.88 / $186.68	Professional		$35.06	$101.88	$186.68
United Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $27.35 / $63.64	Professional		$18.93	$27.35	$63.64