Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $21.66 / $34.56	Professional		$17.73	$21.66	$34.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $45.11 / $106.68	Professional		$11.48	$45.11	$106.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $64.28	Facility		$61.00	$61.00	$64.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $83.76 / $118.90	Facility		$73.70	$83.76	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $33.57 / $76.68	Professional		$13.36	$33.57	$76.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $27.65 / $86.73	Facility		$17.73	$27.65	$86.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $27.65 / $109.44	Facility		$17.73	$27.65	$109.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $29.58 / $166.58	Professional		$16.55	$29.58	$166.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $65.00 / $85.00	Professional		$11.52	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $27.65 / $86.73	Facility		$17.73	$27.65	$86.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $54.76 / $79.64	Professional		$36.22	$54.76	$79.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $46.08 / $109.44	Facility		$46.08	$46.08	$109.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $159.97 / $166.58	Professional		$25.91	$159.97	$166.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $49.06	Professional		$20.84	$20.84	$49.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $72.68 / $125.80	Professional		$20.84	$72.68	$125.80
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.04 / $76.15	Professional		$16.98	$23.04	$76.15