Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $59.72 / $474.24	Facility		$32.14	$59.72	$474.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $25.17 / $172.20	Professional		$21.96	$25.17	$172.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $69.63 / $73.65	Facility		$57.58	$69.63	$73.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.22 / $110.80	Professional		$13.22	$13.22	$110.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $72.70 / $75.56	Facility		$21.49	$72.70	$75.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $86.35 / $132.46	Facility		$73.89	$86.35	$132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $72.12 / $81.95	Professional		$30.98	$72.12	$81.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $32.14	Facility		$23.85	$23.85	$32.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $24.10 / $127.38	Facility		$21.96	$24.10	$127.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $26.78 / $74.18	Professional		$16.07	$26.78	$74.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $52.48 / $85.00	Professional		$13.39	$52.48	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $32.14	Facility		$23.85	$23.85	$32.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $65.73 / $91.30	Professional		$32.72	$65.73	$91.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $63.80 / $127.38	Facility		$53.56	$63.80	$127.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $14.19 / $17.64	Professional		$14.19	$14.19	$17.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $27.55 / $57.03	Professional		$27.55	$27.55	$57.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $90.74 / $146.22	Professional		$27.55	$90.74	$146.22
United Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $23.80 / $64.56	Facility		$23.80	$23.80	$64.56
United Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $26.78 / $66.29	Professional		$15.53	$26.78	$66.29