Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $70.31 / $133.69	Facility		$70.31	$70.31	$133.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $71.54 / $416.50	Professional		$34.42	$71.54	$416.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $70.31 / $235.67	Professional		$39.15	$70.31	$235.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $43.17 / $50.73	Facility		$33.79	$43.17	$50.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $38.19 / $81.17	Professional		$34.86	$38.19	$81.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $111.62 / $171.23	Facility		$95.52	$111.62	$171.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $103.88 / $125.47	Professional		$58.35	$103.88	$125.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $66.68 / $123.21	Facility		$34.68	$66.68	$123.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.50 / $59.84 / $126.58	Facility		$33.50	$59.84	$126.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $95.57 / $568.04	Professional		$41.32	$95.57	$568.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $57.73 / $85.00	Professional		$21.51	$57.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $66.68 / $107.59	Facility		$34.68	$66.68	$107.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $101.20 / $125.95	Professional		$64.20	$101.20	$125.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $84.85 / $267.00	Facility		$47.68	$84.85	$267.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $274.74 / $568.04	Professional		$61.34	$274.74	$568.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $246.15 / $338.53	Professional		$109.43	$246.15	$338.53
United Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $86.19 / $145.02	Professional		$41.03	$86.19	$145.02