Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $106.76 / $204.40	Facility		$32.86	$106.76	$204.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $25.75 / $32.86	Professional		$19.17	$25.75	$32.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $71.20 / $75.31	Facility		$58.89	$71.20	$75.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $111.73	Professional		$10.96	$10.96	$111.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $66.94 / $69.56	Facility		$18.27	$66.94	$69.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $88.45 / $135.69	Facility		$75.69	$88.45	$135.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $73.76 / $83.81	Professional		$31.80	$73.76	$83.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $19.35 / $32.86	Facility		$17.91	$19.35	$32.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $24.65 / $130.10	Facility		$17.91	$24.65	$130.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $22.07 / $58.99	Professional		$15.89	$22.07	$58.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $41.09 / $85.00	Professional		$13.70	$41.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $19.35 / $32.86	Facility		$17.91	$19.35	$32.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $67.31 / $98.81	Professional		$32.29	$67.31	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.78 / $54.78 / $130.10	Facility		$54.78	$54.78	$130.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.43 / $19.60	Professional		$13.23	$13.43	$19.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $58.33 / $74.26	Professional		$58.33	$58.33	$74.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $74.26 / $149.55	Professional		$74.26	$74.26	$149.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.39 / $58.99	Professional		$14.79	$27.39	$58.99