Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $31.67 / $128.28	Facility		$27.94	$31.67	$128.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $38.59 / $460.31	Professional		$27.94	$38.59	$460.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $41.25 / $114.88	Professional		$30.36	$41.25	$114.88
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 $97.32 / $113.73 / $174.46	Facility		$97.32	$113.73	$174.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $43.46 / $130.51	Professional		$28.00	$43.46	$130.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $39.25 / $59.15	Facility		$31.99	$39.25	$59.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $40.01 / $57.77	Facility		$31.96	$40.01	$57.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $72.41 / $225.09	Professional		$37.00	$72.41	$225.09
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 / $39.25 / $59.15	Facility		$31.99	$39.25	$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 $83.90 / $83.90 / $83.90	Facility		$83.90	$83.90	$83.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $46.30 / $225.09	Professional		$27.00	$46.30	$225.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $180.23 / $180.23	Professional		$42.94	$180.23	$180.23
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $60.09 / $121.76	Professional		$35.97	$60.09	$121.76