Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $65.16 / $136.59	Facility		$35.06	$65.16	$136.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $27.47 / $65.16	Professional		$22.50	$27.47	$65.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $75.97 / $80.36	Facility		$62.82	$75.97	$80.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $28.26 / $125.16	Professional		$11.69	$28.26	$125.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $43.40 / $74.22	Facility		$29.22	$43.40	$74.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $30.68 / $37.64	Professional		$29.22	$30.68	$37.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $93.72 / $143.77	Facility		$80.20	$93.72	$143.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $78.68 / $89.41	Professional		$33.45	$78.68	$89.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $35.06 / $102.27	Facility		$22.50	$35.06	$102.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.06 / $102.27	Facility		$26.30	$35.06	$102.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $17.64 / $90.11	Professional		$12.70	$17.64	$90.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $58.40 / $85.00	Professional		$28.26	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $35.06 / $102.27	Facility		$22.50	$35.06	$102.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $70.98 / $97.36	Professional		$58.50	$70.98	$97.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $138.80 / $138.80	Facility		$58.44	$138.80	$138.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $146.10 / $146.10	Professional		$28.57	$146.10	$146.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $62.23	Professional		$21.37	$21.37	$62.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $70.38 / $159.54	Professional		$21.37	$70.38	$159.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $18.71 / $52.60	Professional		$12.27	$18.71	$52.60