Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $20.53 / $91.63	Facility		$17.86	$20.53	$91.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $20.20 / $62.51	Professional		$17.05	$20.20	$62.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $34.34 / $80.51	Professional		$22.97	$34.34	$80.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $22.85 / $31.50	Facility		$22.50	$22.85	$31.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $22.50 / $29.20	Professional		$22.46	$22.50	$29.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $76.87 / $102.17	Facility		$65.00	$76.87	$102.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $62.55 / $80.65	Professional		$29.94	$62.55	$80.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $23.81 / $47.60	Facility		$15.01	$23.81	$47.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $26.52 / $122.24	Facility		$15.18	$26.52	$122.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $40.75 / $325.02	Professional		$24.14	$40.75	$325.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $65.00 / $85.00	Professional		$30.27	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $24.31 / $47.60	Facility		$15.01	$24.31	$47.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $56.30 / $78.97	Professional		$30.88	$56.30	$78.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $75.00 / $122.24	Facility		$49.58	$75.00	$122.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $122.76 / $325.02	Professional		$33.89	$122.76	$325.02
Security Health Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $68.34 / $68.34	Professional		$28.72	$68.34	$68.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $40.74 / $83.92	Professional		$22.85	$40.74	$83.92