Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $169.22 / $343.43	Facility		$48.96	$169.22	$343.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.09 / $30.97	Professional		$18.07	$22.09	$30.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $67.11 / $70.98	Facility		$55.49	$67.11	$70.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $106.79	Professional		$12.75	$12.75	$106.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $70.09 / $72.84	Facility		$17.61	$70.09	$72.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $25.81	Professional		$25.81	$25.81	$25.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $83.19 / $127.61	Facility		$71.19	$83.19	$127.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $69.50 / $78.98	Professional		$29.74	$69.50	$78.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $30.97	Facility		$23.00	$23.00	$30.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $106.46 / $206.19	Facility		$23.00	$106.46	$206.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $25.81 / $93.46	Professional		$14.97	$25.81	$93.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $49.41 / $85.00	Professional		$12.91	$49.41	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $30.97	Facility		$23.00	$23.00	$30.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $63.36 / $237.20	Professional		$31.55	$63.36	$237.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $51.62 / $123.84	Facility		$51.62	$51.62	$123.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $16.98 / $25.35	Professional		$13.68	$16.98	$25.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $54.96	Professional		$32.96	$32.96	$54.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $100.47 / $140.91	Professional		$32.96	$100.47	$140.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $20.79 / $70.73	Professional		$12.91	$20.79	$70.73