Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $40.94 / $60.86	Facility		$32.75	$40.94	$60.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $32.75 / $78.84	Professional		$21.01	$32.75	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $70.95 / $75.05	Facility		$58.67	$70.95	$75.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $27.29 / $116.88	Professional		$10.92	$27.29	$116.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $69.31	Facility		$66.70	$66.70	$69.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $87.40 / $134.08	Facility		$74.79	$87.40	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $73.48 / $83.51	Professional		$29.73	$73.48	$83.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $32.75 / $95.52	Facility		$24.56	$32.75	$95.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $32.75 / $95.52	Facility		$24.56	$32.75	$95.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $17.55 / $164.83	Professional		$14.64	$17.55	$164.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $58.40 / $85.00	Professional		$27.29	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $32.75 / $95.52	Facility		$24.56	$32.75	$95.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $70.90 / $90.87	Professional		$54.60	$70.90	$90.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $150.00 / $150.00	Facility		$54.58	$150.00	$150.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $136.44 / $164.83	Professional		$25.91	$136.44	$164.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $58.12	Professional		$20.63	$20.63	$58.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $67.95 / $149.00	Professional		$20.63	$67.95	$149.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $17.04 / $58.84	Professional		$11.77	$17.04	$58.84