Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $280.27 / $854.76	Facility		$43.63	$280.27	$854.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $39.81 / $198.21	Professional		$11.20	$39.81	$198.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $27.10 / $54.57	Professional		$12.58	$27.10	$54.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $14.31 / $17.42	Facility		$11.45	$14.31	$17.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $49.77 / $89.40	Professional		$40.11	$49.77	$89.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $160.06 / $245.54	Facility		$136.97	$160.06	$245.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $44.58 / $127.22	Professional		$15.02	$44.58	$127.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $45.50 / $81.99	Facility		$12.85	$45.50	$81.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $50.00 / $171.16	Facility		$12.85	$50.00	$171.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $94.15 / $324.58	Professional		$53.88	$94.15	$324.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $52.71 / $71.18	Professional		$20.72	$52.71	$71.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $45.50 / $92.34	Facility		$12.85	$45.50	$92.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $53.96 / $159.22	Professional		$27.28	$53.96	$159.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $81.52 / $81.52	Facility		$81.52	$81.52	$81.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $83.71 / $324.58	Professional		$16.13	$83.71	$324.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $77.69 / $195.73	Professional		$20.29	$77.69	$195.73
United Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $78.91 / $171.43	Professional		$51.61	$78.91	$171.43