Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $46.83 / $69.62	Facility		$37.46	$46.83	$69.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $37.46 / $78.84	Professional		$24.04	$37.46	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.12 / $81.17 / $85.86	Facility		$67.12	$81.17	$85.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $28.52 / $133.71	Professional		$12.49	$28.52	$133.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $76.30 / $79.30	Facility		$76.30	$76.30	$79.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $153.46	Facility		$85.61	$100.04	$153.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $84.07 / $95.54	Professional		$33.76	$84.07	$95.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $37.46 / $109.27	Facility		$28.10	$37.46	$109.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $37.46 / $109.27	Facility		$28.10	$37.46	$109.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $19.98 / $198.99	Professional		$14.64	$19.98	$198.99
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 $28.10 / $37.46 / $109.27	Facility		$28.10	$37.46	$109.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $81.88 / $104.93	Professional		$63.05	$81.88	$104.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $62.44 / $150.00 / $150.00	Facility		$62.44	$150.00	$150.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $156.10 / $198.99	Professional		$25.91	$156.10	$198.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $66.48	Professional		$20.63	$20.63	$66.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $67.95 / $170.46	Professional		$20.63	$67.95	$170.46
United Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $37.46 / $37.46	Facility		$37.46	$37.46	$37.46
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $18.73 / $56.20	Professional		$14.64	$18.73	$56.20