Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $31.84 / $139.55	Facility		$14.81	$31.84	$139.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $36.79 / $156.31	Professional		$15.40	$36.79	$156.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $43.39 / $106.99	Professional		$19.62	$43.39	$106.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $16.89 / $25.25	Facility		$12.74	$16.89	$25.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.94 / $74.98	Professional		$30.00	$40.94	$74.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.73 / $120.05 / $184.15	Facility		$102.73	$120.05	$184.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $45.92 / $114.12	Professional		$23.69	$45.92	$114.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $34.79 / $56.35	Facility		$17.70	$34.79	$56.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $34.79 / $57.07	Facility		$17.54	$34.79	$57.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $96.98 / $251.37	Professional		$42.57	$96.98	$251.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $30.95 / $71.18	Professional		$19.34	$30.95	$71.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $34.79 / $57.07	Facility		$17.76	$34.79	$57.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $47.66 / $88.82	Professional		$22.78	$47.66	$88.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $43.33 / $43.33	Facility		$43.33	$43.33	$43.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $96.15 / $251.37	Professional		$32.00	$96.15	$251.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $93.09 / $195.74	Professional		$28.81	$93.09	$195.74
United Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $66.38 / $138.63	Professional		$40.02	$66.38	$138.63