Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $50.87 / $97.79	Facility		$27.37	$50.87	$97.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $20.67 / $27.37	Professional		$18.70	$20.67	$27.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $59.31 / $62.73	Facility		$49.04	$59.31	$62.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $94.38	Professional		$11.26	$11.26	$94.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $61.93 / $64.36	Facility		$15.56	$61.93	$64.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $73.70 / $113.08	Facility		$63.08	$73.70	$113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $61.42 / $69.80	Professional		$26.43	$61.42	$69.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $27.37	Facility		$20.32	$20.32	$27.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $20.53 / $172.36	Facility		$18.70	$20.53	$172.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $22.81 / $63.18	Professional		$13.69	$22.81	$63.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $55.00 / $85.00	Professional		$11.41	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $27.37	Facility		$20.32	$20.32	$27.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $56.23 / $123.70	Professional		$27.87	$56.23	$123.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $45.62 / $172.36	Facility		$45.62	$45.62	$172.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $15.02 / $22.22	Professional		$12.09	$15.02	$22.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $48.57 / $67.98	Professional		$48.57	$48.57	$67.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $67.98 / $124.54	Professional		$67.98	$67.98	$124.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $18.77 / $56.50	Professional		$13.23	$18.77	$56.50