Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $78.79 / $140.28	Facility		$42.40	$78.79	$140.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $33.21 / $50.11	Professional		$28.97	$33.21	$50.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $91.86 / $97.16	Facility		$75.95	$91.86	$97.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $17.45 / $141.32	Professional		$17.45	$17.45	$141.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $95.95 / $99.72	Facility		$24.11	$95.95	$99.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $113.73 / $174.46	Facility		$97.32	$113.73	$174.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $95.14 / $108.11	Professional		$40.47	$95.14	$108.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $31.47 / $42.40	Facility		$31.47	$31.47	$42.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $34.00 / $214.00	Facility		$28.97	$34.00	$214.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $28.26 / $78.52	Professional		$10.68	$28.26	$78.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $55.00 / $97.51	Professional		$17.48	$55.00	$97.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $31.47 / $42.40	Facility		$31.47	$31.47	$42.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $86.33 / $119.90	Professional		$43.19	$86.33	$119.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $70.66 / $214.00	Facility		$70.66	$70.66	$214.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $23.35 / $34.50	Professional		$18.72	$23.35	$34.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $91.93	Professional		$75.23	$75.23	$91.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $91.93 / $192.90	Professional		$64.31	$91.93	$192.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $21.20 / $78.52	Professional		$10.76	$21.20	$78.52