Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $17.17 / $81.31	Facility		$17.17	$17.17	$81.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $17.17 / $20.52	Professional		$13.26	$17.17	$20.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $22.47 / $61.63	Professional		$17.17	$22.47	$61.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.28 / $28.24	Facility		$20.23	$20.28	$28.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $25.10 / $45.18	Professional		$20.16	$25.10	$45.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $66.34 / $75.39	Facility		$56.77	$66.34	$75.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $54.65 / $63.06	Professional		$17.75	$54.65	$63.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $18.89 / $27.85	Facility		$13.89	$18.89	$27.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $18.70 / $28.39	Facility		$13.81	$18.70	$28.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $48.88 / $138.46	Professional		$21.60	$48.88	$138.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $18.70 / $27.85	Facility		$13.89	$18.70	$27.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $39.94 / $65.55	Professional		$23.02	$39.94	$65.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $24.84 / $65.00	Facility		$24.84	$24.84	$65.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $113.45 / $138.46	Professional		$92.48	$113.45	$138.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $59.69 / $60.64	Professional		$25.88	$59.69	$60.64
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.82 / $58.99	Professional		$20.42	$23.82	$58.99