Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.97 / $251.93 / $697.20	Facility		$58.97	$251.93	$697.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $27.55 / $116.16	Professional		$5.77	$27.55	$116.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $11.80 / $34.38	Professional		$7.20	$11.80	$34.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $7.19 / $8.38	Facility		$5.70	$7.19	$8.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $6.36 / $13.54	Professional		$5.81	$6.36	$13.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $17.62 / $21.57	Professional		$11.43	$17.62	$21.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $12.21 / $30.00	Facility		$6.20	$12.21	$30.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $152.00 / $277.80	Facility		$11.80	$152.00	$277.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $18.61 / $99.52	Professional		$8.84	$18.61	$99.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $22.18 / $70.00	Professional		$9.10	$22.18	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $12.21 / $30.00	Facility		$6.20	$12.21	$30.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $17.97 / $78.40	Professional		$11.40	$17.97	$78.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $101.00 / $101.00	Facility		$8.11	$101.00	$101.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $53.33 / $99.52	Professional		$26.28	$53.33	$99.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $41.80 / $41.80	Professional		$29.96	$41.80	$41.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $16.93 / $43.59	Professional		$8.66	$16.93	$43.59