Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $174.66 / $256.77	Facility		$31.28	$174.66	$256.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.62 / $31.28	Professional		$21.38	$23.62	$31.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $67.78 / $71.69	Facility		$56.05	$67.78	$71.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $107.86	Professional		$12.87	$12.87	$107.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $70.80 / $73.58	Facility		$19.52	$70.80	$73.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $84.24 / $129.22	Facility		$72.09	$84.24	$129.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $70.20 / $79.78	Professional		$30.15	$70.20	$79.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $23.21 / $31.28	Facility		$23.21	$23.21	$31.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.46 / $125.01	Facility		$21.38	$23.46	$125.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $26.07 / $72.20	Professional		$15.64	$26.07	$72.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $55.00 / $85.00	Professional		$13.04	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $23.21 / $31.28	Facility		$23.21	$23.21	$31.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $64.15 / $149.34	Professional		$31.87	$64.15	$149.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $52.14 / $125.01	Facility		$52.14	$52.14	$125.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.14 / $25.61	Professional		$13.82	$17.14	$25.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $38.11 / $55.52	Professional		$38.11	$38.11	$55.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $103.93 / $142.34	Professional		$38.11	$103.93	$142.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $21.46 / $71.44	Professional		$15.12	$21.46	$71.44