Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $89.42	Facility		$46.61	$46.61	$89.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $46.17 / $276.25	Professional		$24.49	$46.17	$276.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $38.92 / $152.06	Professional		$24.56	$38.92	$152.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $28.86 / $33.75	Facility		$22.51	$28.86	$33.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $25.53 / $54.00	Professional		$23.31	$25.53	$54.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $73.70 / $113.08	Facility		$63.08	$73.70	$113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $69.27 / $83.65	Professional		$37.17	$69.27	$83.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $44.22 / $91.80	Facility		$24.19	$44.22	$91.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $39.61 / $119.34	Facility		$22.99	$39.61	$119.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $50.34 / $384.71	Professional		$26.09	$50.34	$384.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $50.00 / $74.39	Professional		$21.51	$50.00	$74.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $39.61 / $91.80	Facility		$24.19	$39.61	$91.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $67.15 / $110.10	Professional		$42.60	$67.15	$110.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $162.35 / $162.35	Facility		$31.89	$162.35	$162.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $125.80 / $384.71	Professional		$40.89	$125.80	$384.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $128.96 / $164.07	Professional		$52.11	$128.96	$164.07
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $46.56 / $102.53	Professional		$25.98	$46.56	$102.53