Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $81.45 / $81.45	Facility		$54.80	$81.45	$81.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $29.95 / $234.89	Professional		$28.13	$29.95	$234.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.54 / $94.98 / $100.46	Facility		$78.54	$94.98	$100.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.61 / $149.02	Professional		$14.61	$14.61	$149.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $89.28 / $92.79	Facility		$28.65	$89.28	$92.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $117.94 / $180.92	Facility		$100.93	$117.94	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $98.37 / $111.79	Professional		$42.13	$98.37	$111.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $32.88 / $66.84	Facility		$18.28	$32.88	$66.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $36.53 / $173.52	Facility		$18.28	$36.53	$173.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $36.53 / $80.54	Professional		$21.19	$36.53	$80.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $54.80 / $85.00	Professional		$18.27	$54.80	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $32.88 / $66.84	Facility		$18.28	$32.88	$66.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $87.16 / $122.24	Professional		$42.94	$87.16	$122.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $73.06 / $173.52	Facility		$73.06	$73.06	$173.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.82 / $17.82	Professional		$17.64	$17.82	$17.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $27.55 / $77.79	Professional		$27.55	$27.55	$77.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $27.55 / $199.45	Professional		$27.55	$27.55	$199.45
United Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $29.22 / $80.54	Professional		$19.18	$29.22	$80.54