Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $27.43 / $148.12	Professional		$17.22	$27.43	$148.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $85.10 / $173.02	Professional		$20.02	$85.10	$173.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $28.44	Facility		$21.05	$21.05	$28.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $21.05 / $28.44	Professional		$19.71	$21.05	$28.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.87 / $87.35 / $123.99	Facility		$76.87	$87.35	$123.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $42.48 / $75.28	Professional		$10.85	$42.48	$75.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $27.43 / $76.09	Facility		$19.75	$27.43	$76.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $28.42 / $151.16	Facility		$19.75	$28.42	$151.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $46.82 / $475.63	Professional		$17.76	$46.82	$475.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $65.00 / $85.00	Professional		$10.53	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $27.43 / $76.09	Facility		$19.75	$27.43	$76.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $52.45 / $77.22	Professional		$40.79	$52.45	$77.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $88.26 / $151.16	Facility		$88.26	$88.26	$151.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $223.49 / $475.63	Professional		$62.02	$223.49	$475.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $94.23 / $128.77	Professional		$30.39	$94.23	$128.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.74 / $78.56	Professional		$16.98	$22.74	$78.56