Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $38.89 / $186.90	Facility		$22.25	$38.89	$186.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $26.50 / $53.48	Professional		$14.53	$26.50	$53.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $34.64 / $107.81	Professional		$14.16	$34.64	$107.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $18.98 / $26.21	Facility		$17.44	$18.98	$26.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $22.61 / $32.21	Professional		$21.30	$22.61	$32.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $111.46	Facility		$62.18	$72.66	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $31.88 / $64.69	Professional		$10.89	$31.88	$64.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $26.14 / $54.30	Facility		$16.77	$26.14	$54.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $26.50 / $64.59	Facility		$16.77	$26.50	$64.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $36.69 / $119.22	Professional		$21.78	$36.69	$119.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $65.34 / $85.00	Professional		$46.01	$65.34	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $26.14 / $54.30	Facility		$16.77	$26.14	$54.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $54.53 / $76.66	Professional		$37.79	$54.53	$76.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $84.75 / $84.75	Facility		$35.90	$84.75	$84.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $88.36 / $218.88	Professional		$11.05	$88.36	$218.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $60.71 / $118.65	Professional		$17.41	$60.71	$118.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $51.18 / $95.00	Professional		$18.54	$51.18	$95.00