Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $54.26 / $75.69	Facility		$21.72	$54.26	$75.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $26.66 / $73.06	Professional		$21.67	$26.66	$73.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $41.43 / $77.64	Professional		$26.87	$41.43	$77.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.37 / $36.04	Facility		$23.99	$30.37	$36.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $32.33 / $45.34	Professional		$27.00	$32.33	$45.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $90.56 / $120.36	Facility		$77.50	$90.56	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $61.88 / $100.78	Professional		$33.28	$61.88	$100.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $26.05 / $48.83	Facility		$21.60	$26.05	$48.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $26.24 / $50.33	Facility		$21.11	$26.24	$50.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $60.59 / $182.79	Professional		$32.17	$60.59	$182.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $58.40 / $85.00	Professional		$20.70	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $26.05 / $50.33	Facility		$21.67	$26.05	$50.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $67.12 / $88.33	Professional		$35.93	$67.12	$88.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $47.54 / $115.03	Facility		$33.97	$47.54	$115.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $137.18 / $182.79	Professional		$39.79	$137.18	$182.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $51.57 / $60.54	Professional		$43.16	$51.57	$60.54
United Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $53.09 / $80.41	Professional		$31.04	$53.09	$80.41