Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $32.35 / $129.81	Facility		$31.42	$32.35	$129.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $45.56 / $85.50	Professional		$31.42	$45.56	$85.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $31.19 / $43.00	Professional		$31.19	$31.19	$43.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $47.23 / $47.23	Facility		$47.23	$47.23	$47.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $70.59 / $100.90	Facility		$35.25	$70.59	$100.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $45.44 / $51.64	Professional		$30.51	$45.44	$51.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $32.35 / $41.04	Facility		$23.00	$32.35	$41.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $36.54 / $527.99	Facility		$23.00	$36.54	$527.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $34.56 / $48.93	Professional		$30.58	$34.56	$48.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $65.00 / $96.05	Professional		$15.00	$65.00	$96.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $32.35 / $41.04	Facility		$23.00	$32.35	$41.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $57.82 / $80.30	Professional		$37.31	$57.82	$80.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $133.13 / $133.13	Facility		$133.13	$133.13	$133.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $35.25	Professional		$35.25	$35.25	$35.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $38.86 / $38.86	Professional		$36.99	$38.86	$38.86
United Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $35.56 / $51.61	Professional		$31.47	$35.56	$51.61