Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $93.29 / $174.34	Facility		$31.20	$93.29	$174.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $43.20 / $101.32	Professional		$31.20	$43.20	$101.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $43.95	Professional		$30.18	$30.18	$43.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $41.40	Facility		$41.40	$41.40	$41.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $68.80 / $98.34	Facility		$33.14	$68.80	$98.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $39.96 / $45.41	Professional		$29.74	$39.96	$45.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $35.06 / $45.62	Facility		$23.77	$35.06	$45.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $35.06 / $156.72	Facility		$23.77	$35.06	$156.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $33.89 / $47.98	Professional		$29.99	$33.89	$47.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $65.00 / $85.00	Professional		$15.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $35.06 / $45.62	Facility		$23.77	$35.06	$45.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $50.69 / $70.40	Professional		$32.71	$50.69	$70.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $127.88 / $127.88 / $127.88	Facility		$127.88	$127.88	$127.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $33.14 / $33.14	Professional		$33.14	$33.14	$33.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Professional		$40.25	$40.25	$40.25
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $33.89 / $49.18	Professional		$29.99	$33.89	$49.18