Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.19 / $93.35 / $265.57	Facility		$48.19	$93.35	$265.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $48.19 / $259.20	Professional		$24.10	$48.19	$259.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $40.24 / $155.33	Professional		$25.39	$40.24	$155.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $30.10 / $35.40	Facility		$23.60	$30.10	$35.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $26.62 / $56.64	Professional		$24.31	$26.62	$56.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $76.87 / $117.92	Facility		$65.78	$76.87	$117.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $71.34 / $81.15	Professional		$38.85	$71.34	$81.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $35.79 / $72.95	Facility		$23.80	$35.79	$72.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $35.79 / $76.05	Facility		$23.45	$35.79	$76.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $48.26 / $158.99	Professional		$27.43	$48.26	$158.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $65.00 / $85.00	Professional		$34.31	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $35.79 / $72.29	Facility		$23.80	$35.79	$72.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.16 / $85.17	Professional		$45.00	$59.16	$85.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $57.75 / $113.54	Facility		$33.29	$57.75	$113.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $129.25 / $158.99	Professional		$41.36	$129.25	$158.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $132.76 / $169.02	Professional		$53.15	$132.76	$169.02
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $47.20 / $106.63	Professional		$27.43	$47.20	$106.63