Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $69.09 / $191.40	Facility		$37.18	$69.09	$191.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $28.09 / $37.18	Professional		$25.40	$28.09	$37.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.61 / $80.55 / $85.20	Facility		$66.61	$80.55	$85.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $128.16	Professional		$15.30	$15.30	$128.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $84.14 / $87.45	Facility		$21.14	$84.14	$87.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $153.46	Facility		$85.61	$100.04	$153.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $83.42 / $94.80	Professional		$35.52	$83.42	$94.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $27.59 / $37.18	Facility		$27.59	$27.59	$37.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $27.88 / $217.00	Facility		$25.40	$27.88	$217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $30.98 / $85.81	Professional		$18.59	$30.98	$85.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $55.00 / $85.00	Professional		$15.49	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $27.59 / $37.18	Facility		$27.59	$27.59	$37.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $76.03 / $150.90	Professional		$37.86	$76.03	$150.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $61.96 / $217.00	Facility		$61.96	$61.96	$217.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $20.41 / $30.32	Professional		$16.42	$20.41	$30.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $65.97	Professional		$61.44	$61.44	$65.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $123.51 / $169.15	Professional		$61.44	$123.51	$169.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $26.15 / $84.90	Professional		$17.97	$26.15	$84.90