Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $50.54 / $70.50	Facility		$24.05	$50.54	$70.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $26.65 / $68.33	Professional		$21.47	$26.65	$68.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $45.40 / $45.40 / $45.40	Professional	25	$45.40	$45.40	$45.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $41.58 / $76.59	Professional		$26.17	$41.58	$76.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $29.60 / $35.21	Facility		$23.40	$29.60	$35.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $30.18 / $42.43	Professional		$25.30	$30.18	$42.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $84.24 / $111.97	Facility		$72.09	$84.24	$111.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $56.64 / $79.59	Professional		$26.11	$56.64	$79.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $27.60 / $55.56	Facility		$21.47	$27.60	$55.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $27.80 / $55.56	Facility		$21.43	$27.80	$55.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $45.60 / $342.78	Professional		$28.25	$45.60	$342.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $58.40 / $84.22	Professional		$24.74	$58.40	$84.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $27.60 / $55.56	Facility		$21.47	$27.60	$55.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $62.61 / $84.03	Professional		$39.96	$62.61	$84.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $46.92 / $112.04	Facility		$33.15	$46.92	$112.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $117.00 / $342.78	Professional		$30.96	$117.00	$342.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $86.37 / $95.77	Professional		$29.01	$86.37	$95.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $45.58 / $75.31	Professional		$28.03	$45.58	$75.31