Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $39.09 / $157.03	Facility		$19.07	$39.09	$157.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $39.64 / $64.70	Professional		$20.26	$39.64	$64.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $48.06 / $119.75	Professional		$24.95	$48.06	$119.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $22.33 / $32.76	Facility		$16.75	$22.33	$32.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $46.25 / $85.43	Professional		$34.17	$46.25	$85.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $132.68 / $203.54	Facility		$113.54	$132.68	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $50.00 / $137.53	Professional		$29.00	$50.00	$137.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $39.15 / $62.51	Facility		$22.98	$39.15	$62.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $39.15 / $64.95	Facility		$22.63	$39.15	$64.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $105.29 / $278.14	Professional		$46.22	$105.29	$278.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $62.33 / $132.94	Professional		$39.56	$62.33	$132.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $39.15 / $62.79	Facility		$22.98	$39.15	$62.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $54.39 / $100.83	Professional		$30.09	$54.39	$100.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $55.88 / $55.88	Facility		$55.88	$55.88	$55.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $121.55 / $278.14	Professional		$35.00	$121.55	$278.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $120.07 / $215.83	Professional		$37.00	$120.07	$215.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $70.66 / $150.80	Professional		$42.70	$70.66	$150.80