Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.18 / $73.98 / $103.20	Facility		$35.18	$73.98	$103.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $60.54 / $173.76	Professional		$31.60	$60.54	$173.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $57.84 / $109.19	Professional		$33.34	$57.84	$109.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $46.40 / $56.54	Facility		$37.68	$46.40	$56.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.45 / $87.39	Professional		$37.15	$46.45	$87.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $124.26 / $190.61	Facility		$106.33	$124.26	$190.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $102.21 / $140.01	Professional		$33.79	$102.21	$140.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $37.47 / $80.84	Facility		$31.02	$37.47	$80.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $37.47 / $83.54	Facility		$31.60	$37.47	$83.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $67.12 / $324.60	Professional		$41.49	$67.12	$324.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $58.40 / $101.23	Professional		$27.49	$58.40	$101.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.52 / $83.54	Facility		$30.90	$38.52	$83.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $93.87 / $128.72	Professional		$56.81	$93.87	$128.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Facility		$180.13	$180.13	$180.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $204.70 / $324.60	Professional		$50.82	$204.70	$324.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $70.84 / $70.84	Professional		$70.84	$70.84	$70.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $118.15 / $118.15	Professional		$75.51	$118.15	$118.15
United Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $63.60 / $113.77	Professional		$40.81	$63.60	$113.77