Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $55.18 / $76.98	Facility		$22.57	$55.18	$76.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $37.70 / $323.39	Professional		$22.60	$37.70	$323.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $43.52 / $86.47	Professional		$28.82	$43.52	$86.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $35.78 / $42.23	Facility		$28.14	$35.78	$42.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $34.09 / $47.80	Professional		$28.57	$34.09	$47.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $94.77 / $125.96	Facility		$81.09	$94.77	$125.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.72 / $91.44	Professional		$33.11	$63.72	$91.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $31.05 / $58.34	Facility		$26.14	$31.05	$58.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $31.20 / $59.32	Facility		$24.74	$31.20	$59.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $68.68 / $197.08	Professional		$35.40	$68.68	$197.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $60.00 / $80.86	Professional		$49.88	$60.00	$80.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $31.05 / $59.32	Facility		$26.14	$31.05	$59.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $70.20 / $99.53	Professional		$42.07	$70.20	$99.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $56.78 / $134.74	Facility		$39.92	$56.78	$134.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $127.76 / $197.08	Professional		$35.22	$127.76	$197.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $37.33	Professional		$36.14	$36.14	$37.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $61.58 / $63.65	Professional		$42.94	$61.58	$63.65
United Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $56.66 / $89.75	Professional		$33.53	$56.66	$89.75