Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $30.94 / $31.79	Professional		$20.39	$30.94	$31.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $53.97 / $122.65	Professional		$13.08	$53.97	$122.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $31.79 / $82.14	Facility		$26.49	$31.79	$82.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $34.29	Professional		$26.49	$26.49	$34.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $96.93 / $137.58	Facility		$85.30	$96.93	$137.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $29.42 / $88.15	Professional		$13.93	$29.42	$88.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $31.79 / $92.72	Facility		$23.84	$31.79	$92.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $31.79 / $114.49	Facility		$23.84	$31.79	$114.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $21.68 / $187.28	Professional		$14.95	$21.68	$187.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $65.00 / $85.00	Professional		$13.25	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $31.79 / $92.72	Facility		$23.84	$31.79	$92.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $63.25 / $93.12	Professional		$47.66	$63.25	$93.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $61.77 / $126.18	Facility		$61.77	$61.77	$126.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $132.44 / $187.28	Professional		$13.93	$132.44	$187.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $47.39 / $56.41	Professional		$47.39	$47.39	$56.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $105.09 / $144.63	Professional		$47.39	$105.09	$144.63
United Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $20.83 / $65.23	Professional		$14.95	$20.83	$65.23