Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.51 / $29.39 / $43.69	Facility		$23.51	$29.39	$43.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $22.65 / $26.90	Professional		$16.05	$22.65	$26.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $81.05	Professional		$9.67	$9.67	$81.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $53.18 / $55.27	Facility		$14.32	$53.18	$55.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $52.76 / $59.95	Professional		$22.72	$52.76	$59.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $17.45 / $23.51	Facility		$17.45	$17.45	$23.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $17.63 / $93.18	Facility		$16.05	$17.63	$93.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.59 / $53.55	Professional		$11.75	$19.59	$53.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $35.78 / $85.00	Professional		$9.80	$35.78	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $17.45 / $23.51	Facility		$17.45	$17.45	$23.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $48.31 / $67.09	Professional		$23.94	$48.31	$67.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $93.18	Facility		$39.18	$39.18	$93.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $10.38 / $12.90	Professional		$10.38	$10.38	$12.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Professional		$26.86	$26.86	$26.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $136.71 / $136.71	Professional		$22.71	$136.71	$136.71
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $15.67 / $53.55	Professional		$11.36	$15.67	$53.55