Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $78.68	Facility		$41.01	$41.01	$78.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $42.58 / $195.52	Professional		$20.10	$42.58	$195.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $38.54 / $127.87	Professional		$21.61	$38.54	$127.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $25.32 / $29.40	Facility		$19.64	$25.32	$29.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $22.40 / $47.04	Professional		$20.45	$22.40	$47.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $64.23 / $98.54	Facility		$54.97	$64.23	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $60.94 / $72.89	Professional		$32.70	$60.94	$72.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $39.24 / $73.81	Facility		$21.11	$39.24	$73.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $39.24 / $99.21	Facility		$20.10	$39.24	$99.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $43.90 / $250.96	Professional		$23.28	$43.90	$250.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $65.00 / $85.00	Professional		$30.05	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $38.65 / $73.81	Facility		$21.11	$38.65	$73.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $58.64 / $168.02	Professional		$37.20	$58.64	$168.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $99.21 / $99.21	Facility		$28.06	$99.21	$99.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $109.75 / $250.96	Professional		$35.97	$109.75	$250.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $114.26 / $144.37	Professional		$91.46	$114.26	$144.37
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $39.51 / $89.45	Professional		$22.74	$39.51	$89.45