Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $58.89 / $87.55	Facility		$47.11	$58.89	$87.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $47.11 / $137.97	Professional		$30.23	$47.11	$137.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.41 / $102.08 / $107.97	Facility		$84.41	$102.08	$107.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $39.26 / $168.15	Professional		$17.32	$39.26	$168.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $95.95 / $99.72	Facility		$95.95	$95.95	$99.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $126.36 / $193.85	Facility		$108.13	$126.36	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $105.72 / $120.14	Professional		$45.02	$105.72	$120.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $50.25 / $137.41	Facility		$35.33	$50.25	$137.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $50.25 / $137.41	Facility		$35.33	$50.25	$137.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $30.75 / $325.62	Professional		$21.13	$30.75	$325.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $70.00 / $108.36	Professional		$39.26	$70.00	$108.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $50.25 / $137.41	Facility		$35.33	$50.25	$137.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $102.14 / $149.22	Professional		$78.65	$102.14	$149.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.52 / $206.00 / $206.00	Facility		$78.52	$206.00	$206.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $196.30 / $325.62	Professional		$45.18	$196.30	$325.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $83.61	Professional		$36.11	$36.11	$83.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $139.91 / $214.36	Professional		$36.11	$139.91	$214.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $28.94 / $78.80	Professional		$16.71	$28.94	$78.80