Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $30.02 / $38.33	Professional		$24.59	$30.02	$38.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $47.85 / $136.80	Professional		$12.78	$47.85	$136.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $84.56 / $89.11	Facility		$84.56	$84.56	$89.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.20 / $117.27 / $166.45	Facility		$103.20	$117.27	$166.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $35.38 / $106.29	Professional		$16.80	$35.38	$106.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $38.33 / $111.79	Facility		$28.75	$38.33	$111.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $38.33 / $111.79	Facility		$28.75	$38.33	$111.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $19.16 / $159.69	Professional		$8.72	$19.16	$159.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $65.00 / $85.00	Professional		$15.97	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $38.33 / $111.79	Facility		$28.75	$38.33	$111.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $76.36 / $112.42	Professional		$57.54	$76.36	$112.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $151.72	Facility		$63.88	$63.88	$151.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $159.69 / $159.69	Professional		$16.80	$159.69	$159.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $68.02	Professional		$10.87	$10.87	$68.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $72.30 / $174.39	Professional		$10.87	$72.30	$174.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $19.16 / $46.40	Professional		$8.64	$19.16	$46.40