Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.93 / $49.93 / $94.56	Facility		$49.93	$49.93	$94.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $40.00 / $147.69	Professional		$26.37	$40.00	$147.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $48.06 / $166.11	Professional		$26.31	$48.06	$166.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $30.51 / $35.51	Facility		$23.79	$30.51	$35.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $26.99 / $57.02	Professional		$24.64	$26.99	$57.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $73.22 / $83.20	Professional		$39.31	$73.22	$83.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $36.65 / $74.90	Facility		$23.58	$36.65	$74.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $37.45 / $113.54	Facility		$23.58	$37.45	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $52.38 / $166.47	Professional		$28.51	$52.38	$166.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $49.83 / $74.39	Professional		$20.70	$49.83	$74.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $37.45 / $74.90	Facility		$23.58	$37.45	$74.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $59.16 / $82.50	Professional		$39.35	$59.16	$82.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $59.71 / $113.54	Facility		$33.72	$59.71	$113.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $109.17 / $166.47	Professional		$39.31	$109.17	$166.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $138.08 / $173.53	Professional		$93.08	$138.08	$173.53
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $51.08 / $112.06	Professional		$28.51	$51.08	$112.06