Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $81.55 / $272.18	Facility		$40.32	$81.55	$272.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $31.89 / $43.88	Professional		$29.99	$31.89	$43.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.63 / $95.08 / $100.57	Facility		$78.63	$95.08	$100.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $151.31	Professional		$18.05	$18.05	$151.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $99.29 / $103.20	Facility		$24.95	$99.29	$103.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $117.94 / $180.92	Facility		$100.93	$117.94	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $98.47 / $111.90	Professional		$42.13	$98.47	$111.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $32.57 / $43.88	Facility		$32.57	$32.57	$43.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $32.90 / $231.00	Facility		$29.99	$32.90	$231.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $36.57 / $101.30	Professional		$21.94	$36.57	$101.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $55.00 / $85.00	Professional		$18.29	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $32.57 / $43.88	Facility		$32.57	$32.57	$43.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $89.50 / $241.58	Professional		$44.69	$89.50	$241.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $73.14 / $231.00	Facility		$73.14	$73.14	$231.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $24.17 / $35.81	Professional		$19.38	$24.17	$35.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $64.12 / $77.88	Professional		$64.12	$64.12	$77.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $64.12 / $199.67	Professional		$64.12	$64.12	$199.67
United Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $36.57 / $36.57	Facility		$36.57	$36.57	$36.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $30.65 / $100.22	Professional		$21.21	$30.65	$100.22