Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $123.87 / $179.04	Facility		$37.36	$123.87	$179.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $38.00 / $64.59	Professional		$26.00	$38.00	$64.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $41.12 / $50.40	Professional		$37.36	$41.12	$50.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.79 / $78.09 / $78.09	Facility		$59.79	$78.09	$78.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.49 / $78.90 / $112.78	Facility		$43.49	$78.90	$112.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $66.73 / $75.83	Professional		$35.65	$66.73	$75.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $36.36 / $41.67	Facility		$21.04	$36.36	$41.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Professional		$74.73	$74.73	$74.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $41.67 / $127.29	Facility		$36.36	$41.67	$127.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $49.16 / $74.73	Professional		$42.25	$49.16	$74.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $65.00 / $85.00	Professional		$33.96	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $36.36 / $41.67	Facility		$21.04	$36.36	$41.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Professional		$74.73	$74.73	$74.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $52.64 / $104.00	Professional		$37.36	$52.64	$104.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $147.79 / $147.79	Facility		$147.79	$147.79	$147.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $47.32	Professional		$47.32	$47.32	$47.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $52.47 / $52.47	Professional		$31.04	$52.47	$52.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $47.74 / $69.29	Professional		$37.36	$47.74	$69.29