Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $39.11 / $58.14	Facility		$31.28	$39.11	$58.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $31.28 / $102.47	Professional		$20.07	$31.28	$102.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $67.78 / $71.69	Facility		$56.05	$67.78	$71.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $26.07 / $112.10	Professional		$12.87	$26.07	$112.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $73.58	Facility		$70.80	$70.80	$73.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $84.24 / $129.22	Facility		$72.09	$84.24	$129.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $70.20 / $79.78	Professional		$30.15	$70.20	$79.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $31.28 / $91.25	Facility		$20.07	$31.28	$91.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $31.28 / $141.88	Facility		$23.46	$31.28	$141.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $22.01 / $810.43	Professional		$15.59	$22.01	$810.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $58.40 / $85.00	Professional		$26.07	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $31.28 / $91.25	Facility		$20.07	$31.28	$91.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $68.37 / $91.98	Professional		$52.65	$68.37	$91.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $324.13 / $324.13	Facility		$66.56	$324.13	$324.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $693.36 / $810.43	Professional		$33.54	$693.36	$810.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $55.52 / $100.95	Professional		$55.52	$55.52	$100.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $103.93 / $142.34	Professional		$100.95	$103.93	$142.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $21.50 / $76.48	Professional		$12.97	$21.50	$76.48