Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $52.27 / $99.49	Facility		$32.25	$52.27	$99.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $35.64 / $90.61	Professional		$22.36	$35.64	$90.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $49.41 / $91.49	Professional		$28.28	$49.41	$91.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $28.16 / $33.20	Facility		$22.13	$28.16	$33.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $42.10 / $58.28	Professional		$35.08	$42.10	$58.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $121.10 / $160.94	Facility		$103.63	$121.10	$160.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $61.86 / $108.56	Professional		$28.68	$61.86	$108.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $32.21 / $57.06	Facility		$20.02	$32.21	$57.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $32.75 / $57.13	Facility		$19.70	$32.75	$57.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $73.84 / $243.64	Professional		$40.19	$73.84	$243.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.05 / $59.06 / $85.00	Professional		$34.05	$59.06	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $32.21 / $57.06	Facility		$20.02	$32.21	$57.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $74.75 / $115.43	Professional		$45.50	$74.75	$115.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $44.72 / $135.18	Facility		$31.39	$44.72	$135.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $150.33 / $243.64	Professional		$37.25	$150.33	$243.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $40.24 / $64.55	Professional		$40.24	$40.24	$64.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $69.33 / $113.76	Professional		$40.98	$69.33	$113.76
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $65.61 / $103.99	Professional		$38.74	$65.61	$103.99