Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $20.63 / $22.80	Facility		$20.63	$20.63	$22.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $24.96 / $62.23	Professional		$20.63	$24.96	$62.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $42.94 / $77.93	Professional		$24.60	$42.94	$77.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.90 / $64.48 / $116.89	Professional	50	$36.90	$64.48	$116.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $20.71 / $27.96	Facility		$20.71	$20.71	$27.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $22.80 / $31.65	Professional		$22.80	$22.80	$31.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.57 / $103.57 / $125.69	Facility		$103.57	$103.57	$125.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $40.65 / $57.16	Professional		$17.62	$40.65	$57.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $25.07 / $35.74	Facility		$19.38	$25.07	$35.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $23.74 / $35.74	Facility		$17.76	$23.74	$35.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $33.25 / $140.87	Professional		$23.43	$33.25	$140.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $85.00	Professional		$58.40	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $24.76 / $35.74	Facility		$19.38	$24.76	$35.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $52.85 / $75.79	Professional		$27.38	$52.85	$75.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $106.79 / $153.85	Professional		$24.04	$106.79	$153.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $79.19 / $87.38	Professional		$48.18	$79.19	$87.38
United Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $30.79 / $61.50	Professional		$23.06	$30.79	$61.50