Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $75.51 / $249.28	Facility		$40.63	$75.51	$249.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.48 / $40.63	Professional		$29.51	$30.48	$40.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $88.04 / $93.12	Facility		$72.80	$88.04	$93.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $16.72 / $140.09	Professional		$16.72	$16.72	$140.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $91.94 / $95.55	Facility		$25.82	$91.94	$95.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.82 / $108.46 / $166.38	Facility		$92.82	$108.46	$166.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $91.18 / $103.61	Professional		$39.24	$91.18	$103.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $40.63	Facility		$30.16	$30.16	$40.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $30.47 / $161.58	Facility		$27.77	$30.47	$161.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $33.86 / $93.79	Professional		$20.32	$33.86	$93.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $55.00 / $85.00	Professional		$16.93	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $40.63	Facility		$30.16	$30.16	$40.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $83.16 / $115.50	Professional		$41.38	$83.16	$115.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $67.72 / $161.58	Facility		$67.72	$67.72	$161.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $22.37 / $33.19	Professional		$17.95	$22.37	$33.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $34.84 / $72.11	Professional		$34.84	$34.84	$72.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $170.80 / $184.88	Professional		$34.84	$170.80	$184.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $28.39 / $83.83	Professional		$19.64	$28.39	$83.83