Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $58.50 / $86.97	Facility		$46.80	$58.50	$86.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $36.65 / $46.80	Professional		$30.03	$36.65	$46.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.85 / $101.40 / $107.25	Facility		$83.85	$101.40	$107.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $156.00	Professional		$15.60	$15.60	$156.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $95.31 / $99.06	Facility		$23.76	$95.31	$99.06
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 / $98.16 / $119.34	Professional		$45.02	$98.16	$119.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $18.87 / $46.80	Facility		$17.46	$18.87	$46.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $31.98 / $185.25	Facility		$17.46	$31.98	$185.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $23.40 / $70.20	Professional		$4.79	$23.40	$70.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $55.00 / $85.00	Professional		$19.30	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $18.87 / $46.80	Facility		$17.46	$18.87	$46.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $93.33 / $130.90	Professional		$20.01	$93.33	$130.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $185.25	Facility		$78.00	$78.00	$185.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $13.11 / $19.07	Professional		$12.90	$13.11	$19.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $83.05	Professional		$5.99	$5.99	$83.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $23.19 / $212.94	Professional		$5.99	$23.19	$212.94
United Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $23.40 / $72.59	Professional		$4.87	$23.40	$72.59