Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.18 / $223.02 / $471.44	Facility		$95.18	$223.02	$471.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $23.76 / $31.29	Professional		$16.71	$23.76	$31.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $113.61	Professional		$11.81	$11.81	$113.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $46.15 / $47.96	Facility		$19.82	$46.15	$47.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $18.88 / $18.88	Professional		$18.88	$18.88	$18.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $77.73 / $88.33	Professional		$23.95	$77.73	$88.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $31.29	Facility		$13.58	$13.58	$31.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $26.56 / $128.00	Facility		$13.58	$26.56	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $19.73 / $74.92	Professional		$11.17	$19.73	$74.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $3,000.00	Professional		$55.00	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $31.29	Facility		$13.58	$13.58	$31.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $48.12 / $67.09	Professional		$26.64	$48.12	$67.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $51.60 / $128.00	Facility		$51.60	$51.60	$128.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.80 / $13.82	Professional		$9.31	$9.80	$13.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $94.16 / $94.16	Professional		$92.66	$94.16	$94.16
United Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $19.80 / $50.85	Professional		$11.32	$19.80	$50.85