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 / $78.28	Professional		$23.37	$27.08	$78.28
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 $11.40 / $11.40 / $116.26	Professional		$11.40	$11.40	$116.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $69.65 / $72.39	Facility		$18.76	$69.65	$72.39
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 $17.73 / $19.14 / $34.20	Facility		$17.73	$19.14	$34.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $23.37 / $135.38	Facility		$17.73	$23.37	$135.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $22.80 / $58.42	Professional		$14.25	$22.80	$58.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $42.75 / $85.00	Professional		$14.25	$42.75	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $19.14 / $34.20	Facility		$17.73	$19.14	$34.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $69.70 / $123.85	Professional		$33.44	$69.70	$123.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $135.38	Facility		$57.00	$57.00	$135.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.33 / $19.60	Professional		$13.06	$13.33	$19.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $60.69 / $77.95	Professional		$60.69	$60.69	$77.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $82.83 / $155.61	Professional		$77.95	$82.83	$155.61
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.10 / $58.42	Professional		$11.97	$17.10	$58.42