Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $45.26 / $67.28	Facility		$36.20	$45.26	$67.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $28.66 / $109.54	Professional		$24.74	$28.66	$109.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.87 / $78.44 / $82.97	Facility		$64.87	$78.44	$82.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $124.83	Professional		$13.76	$13.76	$124.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $75.63 / $78.61	Facility		$23.80	$75.63	$78.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $96.88 / $148.61	Facility		$82.90	$96.88	$148.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $81.25 / $92.33	Professional		$34.69	$81.25	$92.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $24.81 / $36.20	Facility		$24.81	$24.81	$36.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $26.81 / $299.00	Facility		$24.74	$26.81	$299.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $30.17 / $81.73	Professional		$18.10	$30.17	$81.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $55.00 / $85.00	Professional		$15.09	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $24.81 / $36.20	Facility		$24.81	$24.81	$36.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $73.66 / $106.54	Professional		$35.34	$73.66	$106.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $60.34 / $299.00	Facility		$60.34	$60.34	$299.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $28.66 / $64.25	Professional		$28.66	$28.66	$64.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $28.66 / $164.73	Professional		$28.66	$28.66	$164.73
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $24.14 / $68.95	Professional		$16.71	$24.14	$68.95