Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $192.54 / $348.60	Facility		$27.12	$192.54	$348.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $41.07 / $137.15	Professional		$24.47	$41.07	$137.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $61.57 / $133.37	Professional		$30.03	$61.57	$133.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $27.62 / $50.76	Facility		$23.02	$27.62	$50.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $44.88 / $53.91	Professional		$40.79	$44.88	$53.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $133.12 / $155.56	Facility		$74.23	$133.12	$155.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $62.55 / $117.60	Professional		$20.60	$62.55	$117.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $51.75 / $119.94	Facility		$25.74	$51.75	$119.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $51.82 / $122.40	Facility		$27.12	$51.82	$122.40
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $11.05 / $11.05 / $11.05	Facility	AS	$11.05	$11.05	$11.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $43.03 / $158.51	Professional		$33.56	$43.03	$158.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.66 / $134.51	Professional		$39.56	$65.66	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $51.75 / $119.94	Facility		$25.74	$51.75	$119.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $78.97 / $138.00	Professional		$55.06	$78.97	$138.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $58.80 / $110.49	Facility		$47.04	$58.80	$110.49
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $5.88 / $11.05	Facility	AS	$4.70	$5.88	$11.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $105.84 / $268.44	Professional		$25.87	$105.84	$268.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $86.60 / $153.47	Professional		$47.73	$86.60	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $43.03 / $104.68	Professional		$37.88	$43.03	$104.68