Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $24.50 / $91.63	Facility		$21.62	$24.50	$91.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $22.37 / $31.49	Professional		$18.14	$22.37	$31.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $24.02 / $66.43	Professional		$18.59	$24.02	$66.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.10 / $28.10	Facility		$15.14	$20.10	$28.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $27.26 / $50.90	Professional		$20.36	$27.26	$50.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $108.23	Facility		$60.38	$70.55	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $51.52 / $86.33	Professional		$19.00	$51.52	$86.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $23.57 / $32.47	Facility		$19.80	$23.57	$32.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $23.78 / $32.75	Facility		$19.46	$23.78	$32.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $46.41 / $142.02	Professional		$19.62	$46.41	$142.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $34.28 / $74.39	Professional		$20.70	$34.28	$74.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $23.57 / $32.47	Facility		$19.80	$23.57	$32.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $39.32 / $68.15	Professional		$25.90	$39.32	$68.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $48.33 / $48.33	Facility		$48.33	$48.33	$48.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $103.35 / $142.02	Professional		$20.00	$103.35	$142.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $71.20 / $81.77	Professional		$24.29	$71.20	$81.77
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $31.18 / $75.83	Professional		$18.23	$31.18	$75.83