Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $171.79 / $340.78	Facility		$29.54	$171.79	$340.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $19.27 / $25.69	Professional		$18.66	$19.27	$25.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.03 / $55.67 / $58.88	Facility		$46.03	$55.67	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.57 / $88.59	Professional		$10.57	$10.57	$88.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $58.14 / $60.43	Facility		$17.19	$58.14	$60.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $68.45 / $105.00	Facility		$58.57	$68.45	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $57.65 / $65.51	Professional		$24.37	$57.65	$65.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $25.69	Facility		$19.07	$19.07	$25.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $21.41 / $235.62	Facility		$19.07	$21.41	$235.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $21.41 / $62.83	Professional		$12.42	$21.41	$62.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $55.00 / $85.00	Professional		$10.71	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $25.69	Facility		$19.07	$19.07	$25.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $52.27 / $107.82	Professional		$26.17	$52.27	$107.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $51.03 / $235.62	Facility		$42.82	$51.03	$235.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $14.21 / $20.91	Professional		$11.35	$14.21	$20.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $45.59 / $63.17	Professional		$45.59	$45.59	$63.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $102.85 / $116.90	Professional		$63.17	$102.85	$116.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $17.95 / $53.01	Professional		$11.00	$17.95	$53.01