Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $40.65 / $417.34	Professional		$25.94	$40.65	$417.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $133.32 / $263.70	Professional		$26.68	$133.32	$263.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $49.73	Facility		$33.22	$33.22	$49.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $33.22 / $49.98	Professional		$32.86	$33.22	$49.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.52 / $124.45 / $176.64	Facility		$109.52	$124.45	$176.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $55.17 / $112.75	Professional		$17.55	$55.17	$112.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $40.65 / $200.68	Facility		$31.36	$40.65	$200.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $44.86 / $209.36	Facility		$31.36	$44.86	$209.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $86.39 / $747.34	Professional		$30.05	$86.39	$747.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $65.00 / $121.53	Professional		$16.62	$65.00	$121.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $40.65 / $200.68	Facility		$31.36	$40.65	$200.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $83.61 / $140.12	Professional		$63.60	$83.61	$140.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $112.03 / $269.79	Facility		$112.03	$112.03	$269.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $328.13 / $747.34	Professional		$18.47	$328.13	$747.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $155.02 / $203.97	Professional		$149.26	$155.02	$203.97
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $37.56 / $133.81	Professional		$26.14	$37.56	$133.81