Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $75.69 / $78.72	Facility		$40.72	$75.69	$78.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $31.90 / $40.72	Professional		$26.47	$31.90	$40.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $88.24 / $93.34	Facility		$72.97	$88.24	$93.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $140.43	Professional		$16.76	$16.76	$140.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $92.16 / $95.78	Facility		$23.16	$92.16	$95.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $168.00	Facility		$93.72	$109.52	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $91.40 / $103.86	Professional		$39.24	$91.40	$103.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $40.72	Facility		$30.23	$30.23	$40.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $30.55 / $175.00	Facility		$27.83	$30.55	$175.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $33.94 / $94.01	Professional		$19.92	$33.94	$94.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $55.00 / $85.00	Professional		$16.97	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $40.72	Facility		$30.23	$30.23	$40.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $83.16 / $208.67	Professional		$41.48	$83.16	$208.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $67.88 / $175.00	Facility		$67.88	$67.88	$175.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $22.37 / $33.19	Professional		$17.98	$22.37	$33.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $34.92 / $72.28	Professional		$34.92	$34.92	$72.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $98.64 / $185.31	Professional		$34.92	$98.64	$185.31
United Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $28.66 / $84.04	Professional		$16.97	$28.66	$84.04