Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $39.69 / $50.66	Professional		$32.51	$39.69	$50.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $59.93 / $180.83	Professional		$16.89	$59.93	$180.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $111.78 / $117.79	Facility		$111.78	$111.78	$117.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.84 / $154.36 / $219.11	Facility		$135.84	$154.36	$219.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $61.22 / $140.50	Professional		$19.89	$61.22	$140.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $50.66 / $147.77	Facility		$15.12	$50.66	$147.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $50.66 / $147.77	Facility		$15.12	$50.66	$147.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $42.22 / $468.52	Professional		$14.87	$42.22	$468.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $65.00 / $85.00	Professional		$21.11	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $50.66 / $147.77	Facility		$15.12	$50.66	$147.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $101.04 / $146.94	Professional		$22.38	$101.04	$146.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $84.44 / $200.55	Facility		$84.44	$84.44	$200.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $211.10 / $468.52	Professional		$20.55	$211.10	$468.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $89.91	Professional		$10.87	$10.87	$89.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $230.52	Professional		$10.87	$10.87	$230.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $38.61 / $121.59	Professional		$14.87	$38.61	$121.59