Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $61.05 / $90.76	Facility		$48.84	$61.05	$90.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $48.84 / $99.59	Professional		$31.34	$48.84	$99.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.51 / $105.82 / $111.93	Facility		$87.51	$105.82	$111.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $36.01 / $174.33	Professional		$16.28	$36.01	$174.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.76 / $107.76 / $113.55	Facility		$107.76	$107.76	$113.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $200.31	Facility		$111.74	$130.58	$200.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $118.50 / $135.44	Professional		$44.04	$118.50	$135.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $48.84 / $142.44	Facility		$31.34	$48.84	$142.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.63 / $48.84 / $142.44	Facility		$36.63	$48.84	$142.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $40.70 / $386.73	Professional		$32.56	$40.70	$386.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $58.40 / $85.00	Professional		$34.47	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $48.84 / $142.44	Facility		$31.34	$48.84	$142.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $103.06 / $138.60	Professional		$81.90	$103.06	$138.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $193.33 / $193.33	Facility		$81.40	$193.33	$193.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $203.50 / $386.73	Professional		$34.54	$203.50	$386.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $86.67	Professional		$26.06	$26.06	$86.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $90.86 / $222.22	Professional		$26.06	$90.86	$222.22
United Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $40.70 / $132.28	Professional		$29.58	$40.70	$132.28