Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $44.88 / $66.72	Facility		$35.90	$44.88	$66.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $24.53 / $35.90	Professional		$21.62	$24.53	$35.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $40.09 / $42.41	Facility		$33.15	$40.09	$42.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $122.05	Professional		$11.97	$11.97	$122.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $29.92 / $73.12	Facility		$11.63	$29.92	$73.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $95.83 / $147.00	Facility		$82.00	$95.83	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $80.56 / $91.55	Professional		$34.28	$80.56	$91.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.57 / $35.90	Facility		$21.41	$21.57	$35.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $24.53 / $183.39	Facility		$21.41	$24.53	$183.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $24.60 / $65.77	Professional		$16.36	$24.60	$65.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $54.84 / $85.00	Professional		$14.96	$54.84	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.57 / $35.90	Facility		$21.41	$21.57	$35.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $110.68 / $156.86	Professional		$55.10	$110.68	$156.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $183.39	Facility		$59.84	$59.84	$183.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $22.94 / $36.07	Professional		$15.00	$22.94	$36.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $23.06 / $63.72	Professional		$23.06	$23.06	$63.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $23.06 / $163.36	Professional		$23.06	$23.06	$163.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $23.94 / $79.34	Professional		$14.96	$23.94	$79.34