Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $22.49 / $240.36	Professional		$21.01	$22.49	$240.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $69.16 / $131.77	Professional		$13.25	$69.16	$131.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $23.38 / $33.33	Facility		$23.38	$23.38	$33.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $23.38 / $33.33	Professional		$22.50	$23.38	$33.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $86.16 / $122.29	Facility		$75.81	$86.16	$122.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $29.81 / $76.88	Professional		$22.32	$29.81	$76.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $26.79 / $70.14	Facility		$21.01	$26.79	$70.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $28.06 / $72.75	Facility		$21.01	$28.06	$72.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $36.39 / $247.34	Professional		$20.20	$36.39	$247.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $65.00 / $85.00	Professional		$11.69	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $26.79 / $70.14	Facility		$21.01	$26.79	$70.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $57.85 / $85.17	Professional		$40.50	$57.85	$85.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $128.63	Facility		$47.86	$47.86	$128.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $126.25 / $247.34	Professional		$22.32	$126.25	$247.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $92.62 / $124.05	Professional		$23.90	$92.62	$124.05
United Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $27.65 / $72.72	Professional		$19.87	$27.65	$72.72