Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $52.64 / $78.25	Facility		$42.11	$52.64	$78.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $33.34 / $72.66	Professional		$27.02	$33.34	$72.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $91.23 / $96.50	Facility		$75.44	$91.23	$96.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $35.09 / $150.88	Professional		$17.32	$35.09	$150.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $95.28 / $99.03	Facility		$95.28	$95.28	$99.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $112.67 / $172.85	Facility		$96.42	$112.67	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $94.49 / $107.38	Professional		$40.06	$94.49	$107.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $42.11 / $122.82	Facility		$27.02	$42.11	$122.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $42.11 / $122.82	Facility		$31.58	$42.11	$122.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $28.66 / $126.32	Professional		$20.05	$28.66	$126.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $65.00 / $85.00	Professional		$35.09	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $42.11 / $122.82	Facility		$27.02	$42.11	$122.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.16 / $118.80	Professional		$70.20	$91.16	$118.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.18 / $166.68 / $166.68	Facility		$70.18	$166.68	$166.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $175.45 / $175.45	Professional		$44.51	$175.45	$175.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $74.73	Professional		$36.11	$36.11	$74.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $191.59	Professional		$36.11	$36.11	$191.59
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $28.07 / $97.20	Professional		$16.71	$28.07	$97.20