Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $68.41	Facility		$35.65	$35.65	$68.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $46.32 / $316.77	Professional		$18.25	$46.32	$316.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $29.78 / $108.99	Professional		$20.30	$29.78	$108.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $22.04 / $25.61	Facility		$17.11	$22.04	$25.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.48 / $40.97	Professional		$17.80	$19.48	$40.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $52.97 / $68.90	Professional		$29.11	$52.97	$68.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $35.65 / $89.15	Facility		$19.02	$35.65	$89.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $35.65 / $132.60	Facility		$17.25	$35.65	$132.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $51.44 / $440.85	Professional		$27.79	$51.44	$440.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.05 / $65.00 / $85.00	Professional		$36.05	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $34.11 / $89.15	Facility		$19.02	$34.11	$89.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $51.07 / $291.23	Professional		$32.40	$51.07	$291.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $178.00 / $178.00	Facility		$24.40	$178.00	$178.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $154.19 / $440.85	Professional		$31.28	$154.19	$440.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $125.55 / $167.33	Professional		$96.13	$125.55	$167.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $47.77 / $114.78	Professional		$26.71	$47.77	$114.78