Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $30.94 / $111.15	Professional		$20.49	$30.94	$111.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $53.97 / $134.51	Professional		$15.01	$53.97	$134.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $31.93 / $82.14	Facility		$26.61	$31.93	$82.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $34.29	Professional		$26.61	$26.61	$34.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $96.93 / $137.58	Facility		$85.30	$96.93	$137.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $38.81 / $88.55	Professional		$28.99	$38.81	$88.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $46.57 / $200.43	Facility		$23.95	$46.57	$200.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $46.57 / $200.43	Facility		$23.95	$46.57	$200.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $37.33 / $3,255.68	Professional		$21.24	$37.33	$3,255.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $65.00 / $85.00	Professional		$13.31	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $46.57 / $200.43	Facility		$23.95	$46.57	$200.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $64.68 / $93.12	Professional		$49.20	$64.68	$93.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $61.77 / $126.40	Facility		$61.77	$61.77	$126.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $338.76 / $3,255.68	Professional		$38.58	$338.76	$3,255.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $35.46 / $56.67	Professional		$35.46	$35.46	$56.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $35.46 / $173.91	Professional		$35.46	$35.46	$173.91
United Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $95.00 / $184.26	Professional		$26.61	$95.00	$184.26