Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $47.53 / $60.67	Professional		$38.93	$47.53	$60.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $70.28 / $216.55	Professional		$20.22	$70.28	$216.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.87 / $133.87 / $141.06	Facility		$133.87	$133.87	$141.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $184.28 / $261.57	Facility		$162.16	$184.28	$261.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $73.31 / $168.25	Professional		$23.83	$73.31	$168.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $60.67 / $176.96	Facility		$38.93	$60.67	$176.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $60.67 / $176.96	Facility		$38.93	$60.67	$176.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $50.56 / $252.80	Professional		$14.87	$50.56	$252.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $65.00 / $85.00	Professional		$25.28	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $60.67 / $176.96	Facility		$38.93	$60.67	$176.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $120.32 / $174.99	Professional		$35.17	$120.32	$174.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $101.12 / $240.16	Facility		$101.12	$101.12	$240.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $252.80 / $252.80	Professional		$24.53	$252.80	$252.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $107.67	Professional		$10.87	$10.87	$107.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $37.90 / $276.06	Professional		$10.87	$37.90	$276.06
United Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $46.24 / $145.61	Professional		$14.87	$46.24	$145.61