Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $20.90 / $49.57	Professional		$17.12	$20.90	$49.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $47.79 / $113.38	Professional		$12.59	$47.79	$113.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $68.91	Facility		$65.40	$65.40	$68.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.39 / $76.58 / $108.70	Facility		$67.39	$76.58	$108.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $39.22 / $73.98	Professional		$19.98	$39.22	$73.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $38.90 / $151.04	Facility		$20.01	$38.90	$151.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $38.90 / $171.57	Facility		$20.01	$38.90	$171.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.84 / $314.77	Professional		$13.80	$30.84	$314.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $61.35 / $85.00	Professional		$11.12	$61.35	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $38.90 / $151.04	Facility		$20.01	$38.90	$151.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $95.41 / $135.22	Professional		$67.50	$95.41	$135.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $44.46 / $181.05	Facility		$44.46	$44.46	$181.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $111.15 / $314.77	Professional		$21.58	$111.15	$314.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $22.87 / $47.34	Professional		$22.87	$22.87	$47.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $22.87 / $121.38	Professional		$22.87	$22.87	$121.38
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.23 / $80.47	Professional		$13.80	$22.23	$80.47