Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $74.64 / $219.51	Facility		$40.15	$74.64	$219.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $40.15 / $98.67	Professional		$25.77	$40.15	$98.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $87.02 / $92.04	Facility		$71.95	$87.02	$92.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $33.47 / $143.35	Professional		$14.22	$33.47	$143.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.61 / $88.61 / $93.38	Facility		$88.61	$88.61	$93.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $107.41 / $164.77	Facility		$91.91	$107.41	$164.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $97.47 / $111.38	Professional		$36.33	$97.47	$111.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $41.88 / $117.15	Facility		$30.12	$41.88	$117.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $41.88 / $117.15	Facility		$30.12	$41.88	$117.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $35.32 / $397.00	Professional		$26.78	$35.32	$397.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $58.40 / $85.00	Professional		$33.47	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $41.88 / $117.15	Facility		$30.12	$41.88	$117.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $86.94 / $116.97	Professional		$66.95	$86.94	$116.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.94 / $230.00 / $230.00	Facility		$66.94	$230.00	$230.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $167.35 / $397.00	Professional		$32.22	$167.35	$397.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $53.25 / $71.28	Professional		$53.25	$53.25	$71.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $53.25 / $182.75	Professional		$53.25	$53.25	$182.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $33.47 / $94.55	Professional		$21.04	$33.47	$94.55