Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.97 / $56.97 / $108.11	Facility		$56.97	$56.97	$108.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $47.97 / $204.60	Professional		$28.48	$47.97	$204.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $55.91 / $176.63	Professional		$30.02	$55.91	$176.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $34.96 / $41.33	Facility		$27.42	$34.96	$41.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $30.92 / $66.05	Professional		$28.23	$30.92	$66.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $89.51 / $137.31	Facility		$76.59	$89.51	$137.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $83.72 / $95.14	Professional		$46.69	$83.72	$95.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $43.09 / $85.56	Facility		$28.00	$43.09	$85.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.21 / $43.09 / $102.55	Facility		$27.21	$43.09	$102.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $61.20 / $324.60	Professional		$33.50	$61.20	$324.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $50.00 / $79.60	Professional		$21.51	$50.00	$79.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $43.09 / $85.46	Facility		$28.00	$43.09	$85.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $69.81 / $98.80	Professional		$52.20	$69.81	$98.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $67.88 / $147.69	Facility		$38.54	$67.88	$147.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $152.25 / $324.60	Professional		$48.55	$152.25	$324.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $171.96 / $198.39	Professional		$117.66	$171.96	$198.39
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $61.20 / $111.07	Professional		$33.26	$61.20	$111.07