Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $42.19 / $150.33	Facility		$26.14	$42.19	$150.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $44.05 / $75.40	Professional		$29.19	$44.05	$75.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $68.38 / $140.09	Professional		$45.03	$68.38	$140.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $37.57 / $52.29	Facility		$28.41	$37.57	$52.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $63.72 / $117.88	Professional		$47.15	$63.72	$117.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.50 / $186.39 / $285.92	Facility		$159.50	$186.39	$285.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $106.96 / $168.14	Professional		$66.84	$106.96	$168.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $49.63 / $82.11	Facility		$34.85	$49.63	$82.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $49.63 / $85.16	Facility		$34.85	$49.63	$85.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $169.52 / $393.91	Professional		$79.30	$169.52	$393.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $62.33 / $134.51	Professional		$39.92	$62.33	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $49.63 / $83.53	Facility		$34.85	$49.63	$83.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $87.12 / $155.56	Professional		$51.80	$87.12	$155.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $259.41 / $393.91	Professional		$175.50	$259.41	$393.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $84.58 / $123.27	Professional		$49.45	$84.58	$123.27
United Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $120.05 / $164.86	Professional		$65.80	$120.05	$164.86