Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $24.65 / $58.47	Professional		$20.19	$24.65	$58.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $50.63 / $121.40	Professional		$12.89	$50.63	$121.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $69.42 / $73.15	Facility		$69.42	$69.42	$73.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $89.75 / $127.39	Facility		$78.98	$89.75	$127.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $41.38 / $87.25	Professional		$21.19	$41.38	$87.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $45.89 / $91.77	Facility		$23.60	$45.89	$91.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $45.89 / $156.82	Facility		$23.60	$45.89	$156.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $32.22 / $307.52	Professional		$17.61	$32.22	$307.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $65.00 / $85.00	Professional		$13.11	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $45.89 / $91.77	Facility		$23.60	$45.89	$91.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $102.19 / $144.96	Professional		$76.04	$102.19	$144.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $54.26 / $183.42	Facility		$54.26	$54.26	$183.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $131.10 / $307.52	Professional		$23.20	$131.10	$307.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $55.84	Professional		$23.40	$23.40	$55.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $77.06 / $143.16	Professional		$23.40	$77.06	$143.16
United Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $27.90 / $85.52	Professional		$17.61	$27.90	$85.52