Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $142.11 / $379.12	Facility		$29.17	$142.11	$379.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $29.17 / $109.90	Professional		$21.46	$29.17	$109.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $31.74 / $101.59	Professional		$25.40	$31.74	$101.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $74.84 / $74.84	Facility		$34.72	$74.84	$74.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.77 / $45.20	Professional		$34.72	$34.77	$45.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $110.97 / $132.83	Facility		$65.00	$110.97	$132.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $84.63 / $111.17	Professional		$33.09	$84.63	$111.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $35.44 / $74.79	Facility		$23.25	$35.44	$74.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $40.21 / $195.32	Facility		$24.79	$40.21	$195.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $41.51 / $233.94	Professional		$33.75	$41.51	$233.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $33.09 / $70.31	Professional		$19.71	$33.09	$70.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $35.44 / $74.79	Facility		$23.25	$35.44	$74.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $87.16 / $122.24	Professional		$30.75	$87.16	$122.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $195.32	Facility		$65.00	$80.00	$195.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $190.50 / $233.94	Professional		$39.07	$190.50	$233.94
Security Health Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $103.20 / $103.20	Professional		$43.53	$103.20	$103.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $39.70 / $104.01	Professional		$32.96	$39.70	$104.01