Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $45.05 / $66.97	Facility		$36.04	$45.05	$66.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $36.04 / $78.84	Professional		$23.12	$36.04	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $78.08 / $82.58	Facility		$64.56	$78.08	$82.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $28.52 / $128.62	Professional		$12.01	$28.52	$128.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $73.39 / $76.28	Facility		$73.39	$73.39	$76.28
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 $32.65 / $80.86 / $91.89	Professional		$32.65	$80.86	$91.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $36.04 / $105.11	Facility		$27.03	$36.04	$105.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $36.04 / $105.11	Facility		$27.03	$36.04	$105.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $19.23 / $209.84	Professional		$14.64	$19.23	$209.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $65.00 / $85.00	Professional		$27.29	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $36.04 / $105.11	Facility		$27.03	$36.04	$105.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $78.50 / $100.61	Professional		$60.45	$78.50	$100.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.06 / $142.63 / $142.63	Facility		$60.06	$142.63	$142.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $150.15 / $209.84	Professional		$25.91	$150.15	$209.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $63.95	Professional		$20.63	$20.63	$63.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $79.95 / $163.96	Professional		$20.63	$79.95	$163.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $18.02 / $55.90	Professional		$13.05	$18.02	$55.90