Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $165.05 / $1,894.00	Facility		$25.82	$165.05	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $40.77 / $133.96	Professional		$22.00	$40.77	$133.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $54.46 / $130.91	Professional		$22.74	$54.46	$130.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $22.03 / $30.85	Facility		$21.90	$22.03	$30.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $45.28 / $55.51	Professional		$41.16	$45.28	$55.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.94 / $136.19 / $159.15	Facility		$75.94	$136.19	$159.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $60.41 / $117.79	Professional		$20.22	$60.41	$117.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $49.39 / $123.36	Facility		$23.76	$49.39	$123.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $65.91 / $1,590.00	Facility		$25.82	$65.91	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $45.89 / $182.68	Professional		$24.20	$45.89	$182.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $65.66 / $134.51	Professional		$39.32	$65.66	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $49.39 / $123.36	Facility		$23.76	$49.39	$123.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $81.76 / $144.80	Professional		$46.80	$81.76	$144.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $56.80 / $109.00	Facility		$45.44	$56.80	$109.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $105.25 / $376.33	Professional		$24.99	$105.25	$376.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $83.68 / $156.41	Professional		$20.80	$83.68	$156.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $44.43 / $155.51	Professional		$24.20	$44.43	$155.51