Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $52.67 / $78.30	Facility		$42.13	$52.67	$78.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $33.35 / $66.06	Professional		$28.79	$33.35	$66.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $91.29 / $96.55	Facility		$75.48	$91.29	$96.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $140.44	Professional		$14.04	$14.04	$140.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $85.80 / $89.18	Facility		$19.48	$85.80	$89.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $112.67 / $172.85	Facility		$96.42	$112.67	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $94.55 / $107.44	Professional		$40.47	$94.55	$107.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $12.46 / $42.13	Facility		$11.53	$12.46	$42.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $28.79 / $166.77	Facility		$11.53	$28.79	$166.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $23.05 / $63.20	Professional		$13.83	$23.05	$63.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $52.67 / $85.00	Professional		$17.55	$52.67	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $12.46 / $42.13	Facility		$11.53	$12.46	$42.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $84.07 / $117.92	Professional		$41.42	$84.07	$117.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $70.22 / $166.77	Facility		$70.22	$70.22	$166.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $11.11	Professional		$8.61	$8.61	$11.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $103.00	Professional		$74.77	$74.77	$103.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $103.00 / $191.70	Professional		$66.98	$103.00	$191.70
United Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $28.09	Facility		$12.68	$12.68	$28.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $21.07 / $63.20	Professional		$14.18	$21.07	$63.20