Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $52.94 / $78.70	Facility		$42.35	$52.94	$78.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $33.53 / $47.16	Professional		$28.94	$33.53	$47.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.87 / $91.75 / $97.05	Facility		$75.87	$91.75	$97.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $141.16	Professional		$14.12	$14.12	$141.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $86.24 / $89.64	Facility		$22.43	$86.24	$89.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $113.73 / $174.46	Facility		$97.32	$113.73	$174.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $60.01 / $107.99	Professional		$40.47	$60.01	$107.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $42.35	Facility		$10.68	$11.54	$42.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $28.94 / $167.63	Facility		$10.68	$28.94	$167.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $21.17 / $63.52	Professional		$9.89	$21.17	$63.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $52.94 / $85.00	Professional		$17.64	$52.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.54 / $42.35	Facility		$10.68	$11.54	$42.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $84.07 / $117.92	Professional		$41.42	$84.07	$117.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.58 / $70.58 / $167.63	Facility		$70.58	$70.58	$167.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.02 / $11.76	Professional		$7.84	$8.02	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $75.15	Professional		$12.33	$12.33	$75.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $60.46 / $192.68	Professional		$12.33	$60.46	$192.68
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $21.17 / $65.69	Professional		$10.13	$21.17	$65.69