Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $30.75 / $128.28	Facility		$27.13	$30.75	$128.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $36.18 / $55.27	Professional		$27.08	$36.18	$55.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $40.04 / $111.61	Professional		$30.36	$40.04	$111.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $30.88 / $41.31	Facility		$23.02	$30.88	$41.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $37.06 / $66.40	Professional		$26.56	$37.06	$66.40
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 $27.00 / $43.46 / $126.78	Professional		$27.00	$43.46	$126.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $38.39 / $59.15	Facility		$31.99	$38.39	$59.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $39.79 / $57.77	Facility		$31.28	$39.79	$57.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $72.41 / $220.76	Professional		$36.40	$72.41	$220.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $30.95 / $70.00	Professional		$19.34	$30.95	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $38.39 / $59.15	Facility		$31.99	$38.39	$59.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $61.02 / $101.28	Professional		$37.40	$61.02	$101.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $81.50 / $81.50	Facility		$81.50	$81.50	$81.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $46.00 / $220.76	Professional		$26.00	$46.00	$220.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $175.10 / $175.10	Professional		$42.11	$175.10	$175.10
United Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $56.58 / $120.22	Professional		$35.07	$56.58	$120.22