Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.72 / $17.98 / $85.13	Facility		$17.72	$17.98	$85.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $17.72 / $21.14	Professional		$14.33	$17.72	$21.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $23.51 / $62.56	Professional		$16.47	$23.51	$62.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.93 / $29.15	Facility		$20.88	$20.93	$29.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $26.26 / $47.27	Professional		$21.10	$26.26	$47.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $69.50 / $78.98	Facility		$59.47	$69.50	$78.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $23.62 / $65.06	Professional		$18.50	$23.62	$65.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $20.32 / $29.65	Facility		$15.29	$20.32	$29.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $20.01 / $29.72	Facility		$14.72	$20.01	$29.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $29.46 / $142.72	Professional		$22.61	$29.46	$142.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $33.12 / $74.39	Professional		$20.70	$33.12	$74.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $20.01 / $29.65	Facility		$15.29	$20.01	$29.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $40.20 / $67.59	Professional		$24.10	$40.20	$67.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.83 / $53.83 / $65.00	Facility		$53.83	$53.83	$65.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $117.05 / $142.72	Professional		$44.17	$117.05	$142.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $62.56 / $63.47	Professional		$27.09	$62.56	$63.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $24.95 / $67.27	Professional		$21.23	$24.95	$67.27