Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $64.81 / $129.76	Facility		$64.81	$64.81	$129.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $64.81 / $208.34	Professional		$32.99	$64.81	$208.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $64.81 / $225.83	Professional		$32.61	$64.81	$225.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $42.60 / $50.44	Facility		$31.51	$42.60	$50.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $37.81 / $47.27	Professional		$31.51	$37.81	$47.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.62 / $110.57 / $169.61	Facility		$94.62	$110.57	$169.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $99.57 / $113.15	Professional		$48.36	$99.57	$113.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.67 / $97.22	Facility		$32.36	$51.67	$97.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.36 / $116.66	Facility		$32.36	$63.36	$116.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $67.72 / $324.60	Professional		$37.67	$67.72	$324.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $54.09 / $74.33	Professional		$21.18	$54.09	$74.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.67 / $97.22	Facility		$32.36	$51.67	$97.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $82.82 / $121.89	Professional		$65.53	$82.82	$121.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $158.93 / $158.93	Facility		$82.48	$158.93	$158.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $162.15 / $324.60	Professional		$51.65	$162.15	$324.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $235.90 / $235.90	Professional		$116.36	$235.90	$235.90
United Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $67.11 / $153.90	Professional		$37.45	$67.11	$153.90