Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $40.72 / $206.15	Facility		$40.42	$40.72	$206.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $52.00 / $129.01	Professional		$39.26	$52.00	$129.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $39.63 / $50.94	Professional		$39.63	$39.63	$50.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $55.64 / $55.64	Facility		$55.64	$55.64	$55.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $90.24 / $129.00	Facility		$43.83	$90.24	$129.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $53.28 / $60.55	Professional		$39.01	$53.28	$60.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $40.72 / $48.18	Facility		$22.73	$40.72	$48.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $46.46 / $149.56	Facility		$22.73	$46.46	$149.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $42.32 / $62.38	Professional		$38.99	$42.32	$62.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $65.00 / $112.64	Professional		$15.00	$65.00	$112.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $40.72 / $48.18	Facility		$22.73	$40.72	$48.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $68.11 / $94.60	Professional		$43.95	$68.11	$94.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.24 / $169.24 / $169.24	Facility		$169.24	$169.24	$169.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Professional		$43.83	$43.83	$43.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $47.67 / $106.59	Professional		$40.52	$47.67	$106.59
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $42.66 / $68.25	Professional		$39.56	$42.66	$68.25