Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $58.67 / $87.22	Facility		$46.93	$58.67	$87.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $37.15 / $100.13	Professional		$32.07	$37.15	$100.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $101.69 / $107.55	Facility		$84.09	$101.69	$107.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $159.55	Professional		$15.64	$15.64	$159.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $95.58 / $99.34	Facility		$22.62	$95.58	$99.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $125.31 / $192.23	Facility		$107.23	$125.31	$192.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $105.31 / $119.68	Professional		$45.02	$105.31	$119.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $24.51 / $46.93	Facility		$22.68	$24.51	$46.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $32.07 / $185.77	Facility		$22.68	$32.07	$185.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $31.29 / $74.73	Professional		$19.55	$31.29	$74.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $55.00 / $85.00	Professional		$19.55	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $24.51 / $46.93	Facility		$22.68	$24.51	$46.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $95.83 / $255.42	Professional		$45.98	$95.83	$255.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.22 / $78.22 / $185.77	Facility		$78.22	$78.22	$185.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $17.05 / $24.83	Professional		$16.82	$17.05	$24.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $119.64	Professional		$83.29	$83.29	$119.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $119.64 / $213.54	Professional		$119.64	$119.64	$213.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $31.29 / $74.73	Professional		$18.60	$31.29	$74.73