Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $38.36 / $57.02	Facility		$30.68	$38.36	$57.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $24.29 / $62.58	Professional		$20.97	$24.29	$62.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $66.48 / $70.31	Facility		$54.98	$66.48	$70.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $15.34 / $104.31	Professional		$15.34	$15.34	$104.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $62.49 / $64.95	Facility		$19.98	$62.49	$64.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $126.00	Facility		$70.29	$82.14	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $68.86 / $78.25	Professional		$29.32	$68.86	$78.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $18.88 / $30.68	Facility		$17.47	$18.88	$30.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $20.97 / $121.46	Facility		$17.47	$20.97	$121.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $22.24 / $46.70	Professional		$13.00	$22.24	$46.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $38.36 / $85.00	Professional		$12.79	$38.36	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $18.88 / $30.68	Facility		$17.47	$18.88	$30.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $62.57 / $85.46	Professional		$30.02	$62.57	$85.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $51.14 / $121.46	Facility		$51.14	$51.14	$121.46
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 $32.96 / $32.96 / $54.45	Professional		$32.96	$32.96	$54.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $139.61	Professional		$32.96	$32.96	$139.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $20.46 / $47.60	Professional		$12.79	$20.46	$47.60