Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.76 / $44.70 / $66.45	Facility		$35.76	$44.70	$66.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $35.76 / $78.84	Professional		$22.95	$35.76	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $77.48 / $81.95	Facility		$64.06	$77.48	$81.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $28.52 / $127.63	Professional		$11.92	$28.52	$127.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $72.83 / $75.69	Facility		$72.83	$72.83	$75.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $95.83 / $147.00	Facility		$82.00	$95.83	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $80.25 / $91.19	Professional		$32.29	$80.25	$91.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $35.76 / $104.30	Facility		$26.82	$35.76	$104.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $35.76 / $104.30	Facility		$26.82	$35.76	$104.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $19.07 / $180.90	Professional		$14.64	$19.07	$180.90
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 $26.82 / $35.76 / $104.30	Facility		$26.82	$35.76	$104.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $77.56 / $99.53	Professional		$59.80	$77.56	$99.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $150.00 / $150.00	Facility		$59.60	$150.00	$150.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $149.00 / $180.90	Professional		$25.91	$149.00	$180.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $63.46	Professional		$20.63	$20.63	$63.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $162.71	Professional		$20.63	$20.63	$162.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $17.88 / $58.84	Professional		$12.95	$17.88	$58.84