Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $66.56 / $150.47	Facility		$35.82	$66.56	$150.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $28.06 / $117.35	Professional		$24.48	$28.06	$117.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $77.61 / $82.09	Facility		$64.18	$77.61	$82.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $123.51	Professional		$14.74	$14.74	$123.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $81.04 / $84.23	Facility		$20.37	$81.04	$84.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $95.83 / $147.00	Facility		$82.00	$95.83	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $80.38 / $91.34	Professional		$34.28	$80.38	$91.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $26.59 / $35.82	Facility		$26.59	$26.59	$35.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $26.87 / $142.71	Facility		$24.48	$26.87	$142.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $29.85 / $82.68	Professional		$17.52	$29.85	$82.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $55.00 / $85.00	Professional		$14.93	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $26.59 / $35.82	Facility		$26.59	$26.59	$35.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $72.86 / $101.20	Professional		$36.47	$72.86	$101.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $59.70 / $142.71	Facility		$59.70	$59.70	$142.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $19.76 / $29.27	Professional		$15.82	$19.76	$29.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $30.71 / $63.57	Professional		$30.71	$30.71	$63.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $135.52 / $162.97	Professional		$30.71	$135.52	$162.97
United Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $24.62 / $87.59	Professional		$14.93	$24.62	$87.59