Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $25.98 / $33.17	Professional		$21.28	$25.98	$33.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $43.21 / $118.38	Professional		$11.06	$43.21	$118.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.17 / $73.17 / $77.12	Facility		$73.17	$73.17	$77.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $100.52 / $142.66	Facility		$88.45	$100.52	$142.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $40.08 / $91.98	Professional		$13.16	$40.08	$91.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $33.17 / $96.74	Facility		$21.28	$33.17	$96.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $33.17 / $96.74	Facility		$21.28	$33.17	$96.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $27.64 / $138.19	Professional		$14.87	$27.64	$138.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $65.00 / $85.00	Professional		$13.82	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $33.17 / $96.74	Facility		$21.28	$33.17	$96.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $67.05 / $96.53	Professional		$51.00	$67.05	$96.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $131.29	Facility		$55.28	$55.28	$131.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $138.19 / $138.19	Professional		$13.62	$138.19	$138.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $58.86	Professional		$10.87	$10.87	$58.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $42.11 / $150.91	Professional		$10.87	$42.11	$150.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $27.64 / $78.08	Professional		$14.87	$27.64	$78.08