Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $47.84 / $71.11	Facility		$37.63	$47.84	$71.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $37.63 / $215.65	Professional		$21.15	$37.63	$215.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $154.72	Professional		$13.54	$13.54	$154.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $34.13	Facility		$31.08	$31.08	$34.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $72.04 / $72.04	Professional		$72.04	$72.04	$72.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $105.30 / $161.54	Facility		$90.11	$105.30	$161.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $52.66 / $107.09	Professional		$15.95	$52.66	$107.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $37.63 / $95.26	Facility		$23.77	$37.63	$95.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $38.27 / $95.67	Facility		$23.77	$38.27	$95.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $39.79 / $333.00	Professional		$26.53	$39.79	$333.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $60.59 / $118.45	Professional		$20.35	$60.59	$118.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $37.63 / $95.26	Facility		$23.77	$37.63	$95.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $80.45 / $112.20	Professional		$66.30	$80.45	$112.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $156.63 / $156.63	Facility		$64.36	$156.63	$156.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $165.80 / $333.00	Professional		$16.09	$165.80	$333.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $93.08 / $172.86	Professional		$18.25	$93.08	$172.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $33.15 / $104.69	Professional		$22.75	$33.15	$104.69